作者
Eleonora Grandi, Sandeep V Pandit, Niels Voigt, Antony J Workman, Dobromir Dobrev, José Jalife, Donald M Bers
发表日期
2011/10/14
期刊
Circulation Research
卷号
109
期号
9
页码范围
1055-1066
出版商
Lippincott Williams & Wilkins
简介
Rationale:
Understanding atrial fibrillation (AF) requires integrated understanding of ionic currents and Ca2+ transport in remodeled human atrium, but appropriate models are limited.
Objective:
To study AF, we developed a new human atrial action potential (AP) model, derived from atrial experimental results and our human ventricular myocyte model.
Methods and Results:
Atria versus ventricles have lower IK1, resulting in more depolarized resting membrane potential (≈7 mV). We used higher Ito,fast density in atrium, removed Ito,slow, and included an atrial-specific IKur. INCX and INaK densities were reduced in atrial versus ventricular myocytes according to experimental results. SERCA function was altered to reproduce human atrial myocyte Ca2+ transients. To simulate chronic AF, we reduced ICaL, Ito, IKur and SERCA, and increased IK1,IKs and INCX. We also investigated the link between Kv1.5 …
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