A quantitative ultrastructural analysis was made of tissue components in the conducting myocardium of the sinus node and in the working perinodal myocardium of the right atrium from the sinoauricular region of the heart in 10 subjects who had suddenly died of coronary heart disease or cerebral hemorphage in the presence of hypertensive disease. Volumetric densities were estimated in myocytes, connective tissue, capillaries, and nerves; diameters of conducting and working myocytes were also measured in the sinoauricular region of the heart. The data of the analysis were compared with those of estimation of tissue components in the sinoauricular region in sudden extracardiac death. The paper discusses whether the findings are important for understanding the significance of tissue homeostasis maintenance in the sinoauricular region of the human heart.
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The effects of the specific blockers of the inward Na-current --lidocaine and tetrodotoxin (TTX) were studied with microelectrode technique on the spontaneously beating strips of the mouse sinoauricular (SA) area. Lidocaine (25 microM) and TTX (25 pM) increased the duration of the peak of the action potentials (AP) of true pacemaker cells by extending the plateau phase (phase 2 or APD 20), slowing the dV/dt max from 2.6 +/- 0.
View Article and Find Full Text PDFCirculation
June 2006
Department of Medicine, Emory University, Atlanta, GA, USA.
Why does the heart beat? This question--known as the myogenic versus neurogenic theory--dominated cardiac research in the 19th century. In 1839, Jan Evangelista Purkinje discovered gelatinous fibers in the ventricular subendocardium that he thought were muscular. Walter Gaskell, in 1886, demonstrated specialized muscle fibers joining the atria and ventricles that caused "block" when cut and found that the sinus venosus was the area of first excitation of the heart.
View Article and Find Full Text PDFMorfologiia
April 2002
Department of Human Anatomy, Medical Academy of Nizhny Novgorod.
The reactions of the dog sinoatrial node artery under hypo- and hyperkinesia were revealed by the serial semi-thin section morphometric analysis. Single maximal physical load may be a cause of significant changes in the main source of blood supply of the dog heart sinoauricular region. During 4 weeks period hypokinezia leads to decrease of structural and functional reserve of the artery.
View Article and Find Full Text PDFMorfologiia
November 2001
Department of Human Anatomy, State Medical Academy of Nizhny Novgorod.
The reactions of the dog sinoatrial node artery under hyper- and hypokinesia were revealed by the serial semi-thin section morphometric analysis. Single maximal physical load may be a cause of the significant changes in the main source of blood supply of the dogs heart sinoauricular region. During 4 weeks hypokinezia structural and functional reserves of the artery were reduced.
View Article and Find Full Text PDFArkh Patol
May 2000
A. L. Myasnikov Institute of Clinical Cardiology, Cardiological Research Center, Moscow.
The EM study of capillaries in the sinus node (SN) and adjacent working myocardium has been performed in 12 patients who ceased a sudden coronal cardiac death at the age 34-69 years and in 8 patients with alcoholic cardiomyopathy who suddenly died at the age 32-60 years. Quantitative evaluation of the density of the capillaries and their diameters in the myocardium of this region was made. Acute and chronic changes were observed in the capillaries of SN and working myocardium.
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