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Conduction in cardiac tissue. Historical reflections

机译:心脏组织中的传导。历史回顾

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Two hypotheses have been proposed to explain propagation of the action potential in heart. According to the gap junction hypothesis local short‐circuit currents pass from the proximal depolarized cell to the distal inactive cell via gap junctions and are responsible for the depolarization of the distal cell. In the ephapse hypothesis the depolarization of the proximal cell generates an electrical field in the narrow cleft between cells resulting in depolarization beyond threshold of the distal cell. Measurements of length constant, free diffusion of 42 K, local currents between cells, existence of high‐conductance gap junctions led to the conclusion that heart muscle is a functional syncytium. Propagation of the action potential, however, is not uniform but anisotropic and discontinuous; it can be also unidirectional. These findings are strong arguments in favor of the gap junction thesis. They do not exclude, as predicted by theoretical calculations, that in conditions of an abnormal fall in gap junction conductance ephaptic conduction takes over. In this last case, definitive experimental confirmation is still required. See also: https://doi.org/10.14814/phy2.13861 & https://doi.org/10.14814/phy2.13862
机译:已经提出了两种假设来解释动作电位在心脏中的传播。根据间隙连接假说,局部短路电流通过间隙连接从近端去极化细胞流向远端失活细胞,并导致远端细胞去极化。在ephapse假设中,近端细胞的去极化在细胞之间的狭窄裂口中产生电场,导致去极化超过远端细胞的阈值。测量长度常数,42 K的自由扩散,细胞之间的局部电流,高电导间隙连接的存在,得出结论,认为心肌是一种功能合胞体。然而,动作电位的传播不是均匀的,而是各向异性且不连续的。它也可以是单向的。这些发现是支持间隙连接理论的有力论据。正如理论计算所预测的那样,它们不排除在间隙连接电导率异常下降的情况下,脑电传导由神经元传导。在后一种情况下,仍需要确定的实验确认。另请参阅:https://doi.org/10.14814/phy2.13861&https://doi.org/10.14814/phy2.13862

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