Copyright © 2006, European Society of Cardiology
Atrial fibrillation: Is NO an answer for refractoriness?
l'institut du thorax, Inserm U533, Faculté de Médecine, 1 rue G. Veil, 44035 Nantes cedex, France
* Tel.: +33 240 41 28 48; fax: +33 240 41 29 50. Email address: isabelle.baro@nantes.inserm.fr
Received 19 July 2006; accepted 25 July 2006
| The first 10% of the full text of this article appears below. |
See article by Núñez et al. [11] (pages 80–89) in this issue.
The progressive nature of atrial fibrillation (AF) has been attributed to alteration in the electrophysiological properties of the atrial myocardium. As a net effect, a shortening in the refractory period contributes to the substrate, allowing ectopic complex arising and re-entry [1]. Transmembrane ion channel activity determines atrial action potential (AP) shape. Whereas Na+ and Ca2+ channels are responsible for depolarizing currents, K+ channels are responsible for repolarizing currents and therefore shortening of the AP duration. The refractory period is directly correlated to