The transverse (t-) tubular system serves to bring electrical signals deep inside the muscle cells to control mechanical responses. Our preliminary mathematical model of human ventricular cardiomyocyte incorporating t-tubular system [1] was improved by introducing description of latest experimental data related to morphology of human t-tubules and to specific properties of ionic currents. To describe the ion diffusion within t-tubular lumen, we partitioned the t-tubule compartment into nine concentric cylindrical segments. Using the model, we studied the effect of activity-induced concentration changes in the t-tubules on Ca2+ entry into the cell and the intracellular Ca2+ transients controlling the strength of cellular contraction. The values of some crucial parameters, unknown in human cardiomyocytes to date, were regarded as independent variables. The simulations confirmed the tendency of the activity-induced t-tubular concentration changes of Ca2+ to reduce the Ca2+ entry into the cell as well as the intracellular Ca2+ transient. The effect rose with the increase of t-tubular fraction of L-type Ca2+ channels (fCa,t), with the decrease of t-tubular fraction of Ca2+ pump (fpCa,t) and with the increase of the time constant of Ca2+ exchange between external space and t-tubule lumen (TCa,extt). Significant effect simultaneously fCa,t ≥ 0.64, fpCa,t ≤ 0.2 and TCa,extt ≥ 240 ms. and Obsahuje Appendix se seznamy literatury, užitých zkratek a symbolů
Peroperative epicardial mapping of activation, recovery and activation-recovery intervals in the human heart has been performed in a group of 12 patients. These patients had the coronary disease but electrocardiograms with normal characteristics. For this mapping, 240 unipolar electrograms were simultaneously recorded with the system SATAPEC built in our laboratory. The results confirm the classical data obtained on the dog heart. In particular, it was well established that the duration of activation corresponding to activation-recovery intervals is shorter at the base than at the apex of the posterior surface of the heart. With SATAPEC it is very easy to obtain epicardial mapping of electrical activity in a few minutes during open heart surgery.
In the seventies of the past century ballistocardiography had been thought to be obsolete in cardiology for impossibility of objective calibration. In the present work the quantitative ballistocardiography (Q-BCG) for measurement of systolic force (F) and minute cardiac force (MF) in sitting subject was described. The new principle of piezoelectric transducer enabled to register the force caused by the heart and blood movement, which was not measured before. The calibration proved that the action of the force on the transducer was expressed quantitatively without the amplitude-, time-, and phase deformation. The close relationship of skeletal muscle force and F was proved. The F and MF changed under different physiological conditions (age, partial pressure of oxygen, body weight, skeletal muscle force). It was shown that the systolic force (F) and minute cardiac force (MF) are the physiological parameters neurohumorally regulated similarly as the heart rate or systolic volume., Z. M. Trefný ... [et al.]., and Obsahuje bibliografii a bibliografické odkazy