Analysis of mechanical alternans in rabbit papillary muscle

Isometric force and action potentials were recorded in rabbit papillary muscles. It was found that the monophasic decline of the contractile potentiation that was recorded after an extrasystole (ES) was replaced by transient mechanical alternans (TMA) when temperature and calcium concentration of the perfusion medium had been lowered (from 37 degrees to 27 degrees C and from 2.0 to 0.5 mM, respectively). TMA in response to ES was also seen when the preparation was exposed to 2mM 4-aminopyridine. Furthermore, TMA could be induced by a shortening step during activity. Mechanical restitution curves were recorded by relating max. rate of force development of a test contraction to the duration of the preceding stimulus interval. It was found that the alternating contractions during TMA were associated with shifts of the mechanical restitution curve along the force axis. The duration of the action potential was inversely related to force development during TMA. It is proposed that TMA is due to a reduced damping of a regulatory feedback system between inotropic state and intake of activator calcium during the action potential. The following sequence of events are suggested: The abbreviated action potential accompanying a potentiated contraction is associated with reduced intake of activator calcium. This leads to depression of the subsequent contraction. The latter contraction is associated with increased calcium intake due to prolongation of the action potential. This will lead to potentiation of the next beat and the sequence is repeated. It is proposed that recirculation of calcium between heart beats will act as a damping factor of this system.