Genes and Cardiac Repolarization

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Genes and cardiac repolarization: the challenge ahead.

Cardiovascular diseases are caused by a combination of environmental and genetic factors.1,2 Deciphering these genetic factors should provide fundamental new insights into their pathogenesis, diagnosis, prevention, and treatment. Previous large-scale association studies have been able to identify patterns of DNA sequence variations that confer susceptibility to cardiovascular diseases3 or alter...

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Molecular physiology of cardiac repolarization.

The heart is a rhythmic electromechanical pump, the functioning of which depends on action potential generation and propagation, followed by relaxation and a period of refractoriness until the next impulse is generated. Myocardial action potentials reflect the sequential activation and inactivation of inward (Na(+) and Ca(2+)) and outward (K(+)) current carrying ion channels. In different regio...

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Modelling and imaging cardiac repolarization abnormalities.

Repolarization abnormalities, including those induced by the congenital or acquired long QT (LQT) syndrome, provide a substrate for life-threatening cardiac arrhythmias. In this article, we use computational biology to link HERG mutations mechanistically to the resulting abnormalities of the whole-cell action potential. We study how the kinetic properties of I(Ks) (the slow delayed rectifier) t...

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Sudden cardiac arrest associated with early repolarization.

BACKGROUND Early repolarization is a common electrocardiographic finding that is generally considered to be benign. Its potential to cause cardiac arrhythmias has been hypothesized from experimental studies, but it is not known whether there is a clinical association with sudden cardiac arrest. METHODS We reviewed data from 206 case subjects at 22 centers who were resuscitated after cardiac a...

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Dispersion of repolarization in cardiac resynchronization therapy.

BACKGROUND Proarrhythmic effects of cardiac resynchronization therapy (CRT) as a result of increased transmural dispersion of repolarization (TDR) induced by left ventricular (LV) epicardial pacing in a subset of vulnerable patients have been reported. The possibility of identifying these patients by ECG repolarization indices has been suggested. OBJECTIVES The purpose of this study was to te...

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ژورنال

عنوان ژورنال: Circulation

سال: 2005

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.105.563015