In experiments previously reported, it was found that application to the surface of the heart (cat, dog, rabbit) of squares of filter paper soaked in M/10 or M/5 KC1 solutions, produced changes in the electrocardiogram similar to those which follow various types of injury to the heart, except that the potassium effects quickly subsided following removal of the solution. Generally accepted views of the action of potassium ions in the heart and elsewhere suggest that the electrocardiographic changes produced by the application of potassium to the surface of the heart result from the reversible extinction of the action current at the point of application. Potassium chloride has in fact been employed to abolish electrical activity at selected regions in muscle and thus to permit recording of monophasic action currents. We have performed a series of experiments to determine whether potassium has a similar effect when applied to the surface of the heart, and found that we could obtain monophasic action currents from the surface of the dog's heart by use of potassium chloride, in M/10, M/5, or isotonic solutions. Electrograms were obtained by wick electrodes soaked in Ringer's solution placed on the anterior surface of the heart, one on the right and one on the left ventricle The wicks led to silver-silver chloride electrodes, and these were connected to a 100,000 ohm potentiometer from which one-fifth of the potential was recorded by an amplifier-type electrocardiograph (Cardiette). Sensitivity was approximately 2 mm per millivolt. After controls were taken, first one and then the other electrode was replaced by a wick soaked in the potassium solution. This procedure yielded monophasic records, and when the leads were arranged so that the spike was upright, the monophasic wave from the right ventricle was upright, while that from the left ventricle was inverted (Fig. 1).
Read full abstract