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EDITORIALS |
1 Division of Cardiovascular Diseases, University of Tennessee Health Science Center, Memphis, TN, USA
2 Department of Pharmacology, University of Michigan Medical School, Ann Arbor, MI, USA
3 Department of Veterans Affairs Medical Center, Memphis, TN
4 Division of Connective Tissue Diseases, University of Tennessee Health Science Center, Memphis, TN, USA
Correspondence to:
Professor Karl T Weber, Division of Cardiovascular Diseases, University of Tennessee Health Science Center, 920 Madison Ave, Suite 300, Memphis, TN 38163, USA; KTWeber@utmem.edu
| The first 150 words of the full text of this article appear below. |
The heart normally is an efficient physiological pump whose muscular compartment is composed of a syncytium of cardiomyocytes nourished by a coronary vasculature and housed within a scaffolding of structural proteins. The contractile properties of cardiomyocytes are governed by the direct interplay between Ca2+ and contractile proteins, actin and myosin, and their intracellular handling of Ca2+. Likewise, extracellular Ca2+ handling, or Ca2+ homoeostasis, can indirectly influence cardiomyocyte contractility. Herein, we briefly examine Ca2+ dyshomoeostasis and heart failure.
CALCIUM DYSHOMOEOSTASIS
Plasma Ca2+ concentrations are highly regulated and maintained within a narrow range. If disturbed, a series of controlling factors and feedback mechanisms are called into play. Overall Ca2+ homoeostasis relates to its dietary intake; absorption and excretion from gut and kidneys; bone storage; and the modifying influence of such calcitropic hormones as calcitriol (activated vitamin D) and parathyroid hormone (PTH).
In utero, the availability of Ca2+ for fetal growth and development, including
Relevant Article
Heart 2008 94: 581-584.
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