Negative inotropic effect of extracellular calcium buffering in cardiac muscle

Am J Physiol. 1987 Feb;252(2 Pt 1):C248-52. doi: 10.1152/ajpcell.1987.252.2.C248.

Abstract

Heart muscle contracts more vigorously when calcium levels are raised. A transient depletion of calcium from restricted extracellular spaces occurs with each contraction. We decided to maintain the concentration of this ion at a constant level by using an external calcium buffering system. It was found that buffering calcium at a millimolar level (using citrate as a buffer) caused a decrease, rather than an increase in the strength of contraction. The mean reduction in peak tension was by 27% in guinea pig and by 50.5% in frog atrium. This finding is analyzed; its most plausible explanation is the hypothesis that the buffer dissipates a calcium inhomogeneity, consisting of a higher calcium concentration adjacent to the membrane. Alternative interpretations such as intracellular acidosis, were tested experimentally and ruled out.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anura
  • Atrial Function
  • Buffers
  • Calcium / physiology*
  • Cell Membrane / physiology
  • Citrates / pharmacology*
  • Citric Acid
  • Depression, Chemical
  • Guinea Pigs
  • Hydrogen-Ion Concentration
  • Magnesium / pharmacology
  • Myocardial Contraction / drug effects*

Substances

  • Buffers
  • Citrates
  • Citric Acid
  • Magnesium
  • Calcium