Summary
The effect of tetrodotoxin (TTX), lidocaine, and quinidine on the transient inward current (TI) was studied in voltage-clamped sheep cardiac Purkinje fibres. The TI was induced by elevation of extracellular Ca or addition of strophanthidin.
Reduction of external Na had a biphasic effect on the steady state TI magnitude; a moderate (<50%) reduction of external Na had an enhancing effect on the TI; a further decrease of extracellular Na was accompanied by a decline of TI amplitude. The TI could not be induced in Na-free medium (external Ca≦9.0 mM).
TTX, lidocainc, and quinidine reduced the magnitude of the TI in a dose-dependent way. The blocking effect of these agents could be compensated for by a moderate (<50%) reduction of external Na or an elevation of extracellular Ca.
It is suggested that the blocking effect of TTX, lidocaine, and quinidine on the TI is due to a reduction of intracellular Na, which causes a decay of intracellular Ca via the Na−Ca exchange mechanism.
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Henning, B., Zehender, M., Meinertz, T. et al. Effect of tetrodotoxin, lidocaine, and quinidine on the transient inward current of sheep Purkinje fibres. Basic Res Cardiol 83, 176–189 (1988). https://doi.org/10.1007/BF01907272
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DOI: https://doi.org/10.1007/BF01907272