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Cardiac Rate and Rhythm - Physiological, Morphological and Developmental Aspects (Paperback, Softcover reprint of the original 1st ed. 1982)
Loot Price: R1,661
Discovery Miles 16 610
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Cardiac Rate and Rhythm - Physiological, Morphological and Developmental Aspects (Paperback, Softcover reprint of the original 1st ed. 1982)
Series: Developments in Cardiovascular Medicine, 17
Expected to ship within 10 - 15 working days
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In the denervated state the mammalian heart, both in vivo and in
vitro, is excited at very regular intervals, the coefficient of
variance of the interbeat intervals not exceeding 2%. The pacemaker
that is the source of this regular ex citation is localised
normally within the sinus node (" sino-atrial node " node of Keith
and Flack), a most intriguing small piece of tissue in the caval
corner of the right atrium. A small portion of this node containing
a group of probably only a few thousands of cells fires
spontaneously, that means without any exter nal influence to
trigger their activity. The so called pacemaker cells do this by
letting their membrane potential fall to the level where an action
potential will start which subsequently activates surrounding cells
to fire an action po tential. The first question which is tackled
in this book is which processes underly this spontaneous diastolic
depolarization. This is discussed in section I, concerning the
fundamental properties of pacemaker cells with special refer ence
to ionic membrane currents. Although views still quite differ about
the exact nature of the membrane processes that cause the automatic
pacemaker dis charge there is agreement that diastolic
depolarization is brought about by the interaction of a number of
ionic current systems, including both inward and out ward going
currents."
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