ABSTRACT:
This a model from the article:
Action potential and contractility changes in [Na(+)](i) overloaded cardiac
myocytes: a simulation study.
Faber GM, Rudy Y. Biophys J
2000 May;78(5):2392-404 10777735
,
Abstract:
Sodium overload of cardiac cells can accompany various pathologies and induce
fatal cardiac arrhythmias. We investigate effects of elevated intracellular
sodium on the cardiac action potential (AP) and on intracellular calcium using
the Luo-Rudy model of a mammalian ventricular myocyte. The results are: 1)
During rapid pacing, AP duration (APD) shortens in two phases, a rapid phase
without Na(+) accumulation and a slower phase that depends on [Na(+)](i). 2) The
rapid APD shortening is due to incomplete deactivation (accumulation) of I(Ks).
3) The slow phase is due to increased repolarizing currents I(NaK) and
reverse-mode I(NaCa), secondary to elevated [Na(+)](i). 4) Na(+)-overload slows
the rate of AP depolarization, allowing time for greater I(Ca(L)) activation; it
also enhances reverse-mode I(NaCa). The resulting increased Ca(2+) influx
triggers a greater [Ca(2+)](i) transient. 5) Reverse-mode I(NaCa) alone can
trigger Ca(2+) release in a voltage and [Na(+)](i)-dependent manner. 6) During
I(NaK) block, Na(+) and Ca(2+) accumulate and APD shortens due to enhanced
reverse-mode I(NaCa); contribution of I(K(Na)) to APD shortening is negligible.
By slowing AP depolarization (hence velocity) and shortening APD, Na(+)-overload
acts to enhance inducibility of reentrant arrhythmias. Shortened APD with
elevated [Ca(2+)](i) (secondary to Na(+)-overload) also predisposes the
myocardium to arrhythmogenic delayed afterdepolarizations.
This model was taken from the CellML repository
and automatically converted to SBML.
The original model was:
Faber GM, Rudy Y. (2000) - version06
The original CellML model was created by:
Ashton, Jesse,
j.ashton@aukland.ac.nz
The University of Auckland
Auckland Bioengineering Institute
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