Dialogues in Cardiovascular Medicine - Vol 5 . No. 4 . 2000






Janse devoted the major part of his life in science to the difficult task of visualizing electrical propagation through the heart during the initiation and maintenance of arrhythmias...
M. J. Janse, F. J. van Capelle, G. E. Freud, D. Durrer

It is well established that, following initiation of the impulse in the sinoatrial (S-A) node, propagation through the atrial musculature is asymmetric, demonstrating regions of fast and slow conduction...



A subpopulation of cells with unique electrophysiological properties in the deep subepicardium of the canine ventricle. The M cell
S. Sicouri, C. Antzelevitch

Anatomy in its purest form is regarded by many as a done-and-dusted (if not dead) subject...



Membrane current through adenosine-triphosphate–regulated potassium channels in guinea-pig ventricular cells
A. Noma, T. Shibasaki

Having earlier identified a K+ current activated when intracellular ATP levels fall (I K-ATP), in this paper Noma and colleagues used the whole-cell voltage clamp technic to examine the contribution made by I K-ATP to the whole-cell current generated by adenosine triphosphate (ATP) depletion in ventricular cells...



Early afterdepolarizations: mechanism of induction and block. A role for L-type Ca2+ current
C. T. January, J. M. Riddle

This is a very useful paper in my opinion, but for reasons that may not have been initially intended by the authors...



The Sicilian gambit. A new approach to the classification of antiarrhythmic drugs based on their actions on arrhythmogenic mechanisms
Task Force of the Working Group on Arrhythmias of the European Society of Cardiology

The Vaughan–Williams classification (VWC) of antiarrhythmic drugs was believed by some in the late 1980s to have outlived its usefulness...



Molecular determinants of state-dependent block of Na+ channels by local anesthetics
D. S. Ragsdale, J. C. McPhee, T. Scheuer, W. A. Catterall

In this study, it was shown that, by altering the structure of rat brain Na+ channels (by site-directed mutagenesis), it was possible to selectively alter the binding of local anesthetics to the rested, open, and inactivated states of the channel, and the ability of drugs to access their binding site via a hydrophilic pathway...



Two long QT syndrome loci map to chromosomes 3 and 7 with evidence for further heterogeneity
C. Jiang, D. Atkinson, J. A. Towbin, I. Splawski, M. H. Lehmann, H. Li, K. Timothy, R. T. Taggart, P. J. Schwartz, G. M. Vincent, et al

In this paper, the authors took several generations of 15 families, all with long QT syndrome (LQT), classified individual family members as being symptomatic (expressing arrhythmias) or not, and related this to genotype using polymerase chain reaction (PCR) analysis...



Molecular mechanism for an inherited cardiac arrhythmia
P. B. Bennett, K. Yazawa, N. Makita, A. L. George

This article describes single-channel behavior of mutant Na+ channels from human hearts associated with one form of hereditary long QT syndrome (LQT3)...



The structure of the potassium channel: molecular basis of K+ conduction and selectivity
D. A. Doyle, J. Morais Cabral, R. A. Pfuetzner, A. Kuo, J. M. Gulbis, S. L. Cohen, B. T. Chait, R. MacKinnon

This is a truly excellent paper, not simply because it changed the way we think about ion channel function, but because it set out to disprove a hypothesis (the most valuable scientific approach, in my view), and succeeded unequivocally...



A randomized trial of propranolol in patients with acute myocardial infarction. I. Mortality results
ß-Blocker Heart Attack Research Group

From a drug developmental point of view, this paper reaches back into the past, yet still has a very contemporary context, so I have saved it till last...






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