Mechanoelectrical feedback in cardiac myocytes from stretch-activated ion channels.

Stretch-activated ion channels (SAC's) in cardiac myocytes from neonatal rats were studied in cell-attached patches. Stretch of membrane patches by suction in the recording pipette caused the triggering of action potentials that were recorded as action currents (AC's). The significance of a temporal correlation between SAC open probability and AC's was tested using the Kolmogorov-Smirnov and Poisson distributions. It was shown that the 50-ms epoch immediately preceding the action current had unique kinetics and represented a peak in SAC open probability (p < 0.001). Thus it appears that current from a small number of SAC's injects sufficient charge (0.2 pC during 50 ms) to trigger action potentials in myocytes. These data strengthen the hypothesis that passive mechanical stretch of myocardium can be arrhythmogenic.