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J Physiol Volume 570, Number 2, 209-218, January 15, 2006 DOI: 10.1113/jphysiol.2005.097873
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TOPICAL REVIEW

Cardiac memory ... new insights into molecular mechanisms

Michael R. Rosen1 and Ira S. Cohen2

1 Departments of Pharmacology and Pediatrics, Center for Molecular Therapeutics, College of Physicians & Surgeons of Columbia University, New York, NY, USA
2 Department of Physiology and Biophysics, Institute of Molecular Cardiology, Stony Brook University, Stony Brook, NY, USA

‘Cardiac memory’ describes an electrocardiographic T wave vector change, recorded during normal sinus rhythm that reflects the QRS complex vector during prior periods of ventricular pacing or arrhythmia. In this brief review we consider the mechanisms responsible for cardiac memory, which offer a unique window for relating molecular determinants of repolarization to their expression in the function of ion channels and in the electrophysiology of the heart. Understanding the steps that translate the molecular mechanisms for memory into clinical expression in this relatively straightforward model facilitates our comprehension of the complex pathways that order normal cardiac repolarization and repolarization changes.

(Received 1 September 2005; accepted after revision 7 November 2005; first published online 10 November 2005)
Corresponding author M. R. Rosen: Center for Molecular Therapeutics, College of Physicians and Surgeons of Columbia University, 630 West 168 Street, PH7West-321, New York, NY 10032, USA. Email: mrr1{at}columbia.edu







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