Influence of the Purkinje-muscle junction on transmural repolarization heterogeneity
Author(s) -
Richard D. Walton,
M. Martinez,
Martin J. Bishop,
Mélèze Hocini,
Michel Haı̈ssaguerre,
Gernot Plank,
Olivier Bernus,
Edward J. Vigmond
Publication year - 2014
Publication title -
cardiovascular research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.774
H-Index - 219
eISSN - 1755-3245
pISSN - 0008-6363
DOI - 10.1093/cvr/cvu165
Subject(s) - repolarization , cardiology , medicine , purkinje fibers , anatomy , neuroscience , electrophysiology , biology
To elucidate the properties of the PMJ and myocardium underlying these effects. Transmural heterogeneity of action potential duration (APD) is known to play an important role in arrhythmogenesis. Regions of non-uniformities of APD gradients often overlap considerably with the location of Purkinje-muscle junctions (PMJs). We therefore hypothesized that such junctions are novel sources of local endocardial and transmural heterogeneity of repolarization, and that remodelling due to heart failure modulates this response.
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