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In-Depth Information
Energecs
S E R
C
A
V
N
a K
A
V
A
V
p C
M
a
ATPases
A D P m
A D P i
C a
2 +
Mitochondrial
energecs
N A D H
m
Mechanical
Force &
Ca
2+
transient
C a
2 +
i
F o r c e
Electrical
R
T
ECG
P
P
Q
S
Acon potenal
I
N a
I
K s
I
K 1
I
K p
Ionic fluxes
I
C a
INaCa
Jrel
Time
Fig. 5.1 Temporal unfolding of electrical, mechanical, and energetic processes during a single
cardiomyocyte beat as computed by the Excitation-Contraction coupling Mitochondrial Energetic
(ECME) model. The depolarization and repolarization phases of the action potential (AP) take
place during the first 200 ms when the ECME model is stimulated every 2 s. This calculation
reveals the multiple temporal scales involved. The
gray shaded
area is meant to highlight
the earlier occurrence of electrical as compared with mechanical (contraction-relaxation) and
metabolic/energetic processes. Mitochondrial energy fuels the electrical and contractile machinery
of the heart cell on a slower time scale (few seconds) compared with the electrical processes
(milliseconds), which are followed by mechanical events associated with the force of contraction
and the Ca
2+
transient
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