Abstract
Ventricular arrhythmias are a major cause of death in cardiovascular
disease. Ca2+ removal from the cell by the electrogenic Na/Ca exchanger
is essential for the Ca2+ flux balance during excitation-contraction
coupling but also contributes to the electrical events. "Classic"
views on the exchanger in arrhythmias include its well-recognized
role as depolarizing current underlying delayed afterdepolarizations
(DADs) during spontaneous Ca2+ release and the alterations in expression
in certain forms of cardiac hypertrophy and heart failure. "Novel"
views relate to more subtle roles for the exchanger in arrhythmias.
Na/Ca exchange function in disease could be modulated indirectly,
through phosphorylation or anchoring proteins. Ongoing studies relate
Na/Ca exchange to variability in action potential duration (APD)
and early afterdepolarizations (EADs) in a dog model of cardiac hypertrophy
and arrhythmias. Further research on drugs that target Na/Ca exchange
will have to carefully examine the effects on Ca2+ balance.
Users
Please
log in to take part in the discussion (add own reviews or comments).