Relationship between Potassium and Vagal Action on Atrioventricular Transmission.

نویسندگان

  • K GREENSPAN
  • C M WUNSCH
  • C FISCH
چکیده

• Recent observations on the isolated rabbit heart and in the intact dog have indicated that potassium (K) is antagonistic to the action of acetylcholine (ACh) on atrioventricular (A-V) transmission. Both groups of investigators reported that A-V block induced by ACh was abolished by K. Furthermore, it has been demonstrated in human subjects with varying degrees of A-V block, that K infusion improved conduction to the extent of either decreasing the degree of block, or completely eliminating the block, at the node. In addition, it has been shown that administration of isotonic potassium chloride (KCl) to patients with atrial fibrillation may increase the ventricular rate presumably by improving A-V conduction. In the latter two studies' many of the patients who responded to K were treated with digitalis prior to the KCl infusion and it is likely that the K effect was an expression of a direct antagonism to the vagal effect of digitalis.

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عنوان ژورنال:
  • Circulation research

دوره 17  شماره 

صفحات  -

تاریخ انتشار 1965