Page 203 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
P. 203

IV + V
                       ES
                                                                       Cardiac Rhythm





                                                                       of
                                      7
                   Single extrasystole   Tachycardia
        6                                                              Abnormalities
                                       8     Membrane
                                             potential  Normal

                                         –100
                                                         E K +    (after Noble)
                  Synchronized
                  myocardial excitation                                Plate 7.9 + 7.10
                                        Potential (mV)  –50

             with normal potential                       Hyperkalemia
             of Purkinje fibers
                                           0.5 1  2  5  10  20
                                 Hypokalemia  Extracellular K  concentration (mmol/L)
                                                   +
   Reentry      5
              in
             depolarized                      Digitalis  Anoxia etc.
             Purkinje fibers
        9                   10
                                Purkinje fibers
                                       dV    11
                                       ___
                                       dt
            Normal
                        Rapid
                          +
                        Na current
         Ability to activate  rapid Na +  current

          0                         ϑ
              –90       –55  mV
               Diastolic potential
                                Desynchronized
                                myocardial excitation
                                                   Ventricular fibrillation  193


       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
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