Slow delayed rectifier current and repolarization in canine cardiac Purkinje cells
Although cardiac Purkinje cells (PCs) are believed to be the source of early afterdepolarizations generating ventricular tachyarrhythmias in long Q-T syndromes (LQTS), the ionic determinants of PC repolarization are incompletely known. To evaluate the role of the slow delayed rectifier current ( I Ks) in PC repolarization, we studied PCs from canine ventricular false tendons with whole cell patch clamp (37°C). Typical I Ks voltage- and time-dependent properties were noted. Isoproterenol enhanced I Ks in a concentration-dependent fashion (EC50 ∼ 30 nM), negatively shifted I Ks activation voltage dependence, and accelerated I Ks activation. Block of I Ks with 293B did not alter PC action potential duration (APD) in the absence of isoproterenol; however, in the presence of isoproterenol, 293B significantly prolonged APD. We conclude that, without β-adrenergic stimulation, I Ks contributes little to PC repolarization; however, β-adrenergic stimulation increases the contribution of I Ks by increasing current amplitude, accelerating I Ks activation, and shifting activation voltage toward the PC plateau voltage range. I Ks may therefore provide an important “braking” function to limit PC APD prolongation in the presence of β-adrenergic stimulation.