“…On the other hand, La... displaces and replaces Ca++ at various superficial membrane sites, thereby reducing net availability of Ca++ for translocation (17,19). We have previously reported that aminoglycosides decrease the uptake and increase the efflux of 45Ca in vascular smooth muscle by affecting superficial membrane sites and, through this Ca++-dependent action, inhibit contractile responses of arteries to a variety ofvasoconstrictor agents (5,6,20). Based on present mechanical findings, it seems that gentamicin also disrupts the excitationcontraction coupling process in heart muscle, perhaps by inhibiting the binding of Ca++ at superficial membrane sites responsible for availability of Ca++ for transsarcolemmal systolic influx.…”