In Langendorff preparations of the isolated rabbit heart, excision of the atria and severance of the atrio-ventricular bundle resulted in the onset of idio-ventricular rhythm at a rate much below the original sino-atrial rate. The mean decrease in rate in twelve experiments was 61%. Acetylcholine perfusion decreased the idio-ventricular rate still further. Physostigmine augmented this effect while atropine prevented or abolished it. Similar results were obtained with a rat heart. The results indicate that a cholinergic receptor mechanism is present at pacemaker sites in mammalian ventricles. However, when rabbit ventricles, beating under atrio-ventricular nodal rhythm or idio-ventricular rhythm, were cooled to the point of cardiac arrest, acetylcholine failed to cause reappearance of the cardiac beat.Acetylcholine has been shown to affect the transmembrane atrial resting and action potentials in a number of species (Cranefield and Hoffman, 1958), and these effects present a basis for understanding the actions of this substance on rate, conduction velocity, and refractory period of atrial tissue. Effects on the transmembrane action potential of the frog ventricle have also been demonstrated, but experiments in which the effect of acetylcholine on the mammalian ventricular action potential was examined have proved negative (Brooks, Hoffman, Suckling, and Orias, 1955). Further, the generally accepted fact that the ventricle does not receive cholinergic innervation has been suggested as a reason for these negative results (Hoffman and Suckling, 1953;Brooks et al., 1955). The experiments presented here indicate that acetylcholine can decrease the idioventricular rate of the isolated perfused rabbit and rat heart, and that this effect is augmented by physostigmine and is reversed or prevented by atropine. The effect of acetylcholine on isolated rabbit ventricles cooled to the point of cardiac arrest was also examined. The results of 19 experiments are described. by McEwen (1956). The heart rate was measured from the electrocardiogram, which was recorded by leads from the two ventricles. In a few early experiments, heart rate was counted with the aid of a stopwatch by observing ventricular contractions on a kymograph drum. For the production of atrio-ventricular nodal rhythm the atria and interatrial septum were excised at the level of the atrio-ventricular groove. In the experiments on idio-ventricular rhythm, the atrio-ventricular bundle was severed by an additional cut in the inter-ventricular septum. Drugs employed were added to the bottles containing the perfusion fluid. Drug concentrations are expressed as g./l. of the base. When hearts were cooled, this was accomplished by the gradual adding of tap water and ice to the water-bath in which the perfusion coil was immersed. The rate of cooling was about 1/min.
RESULTSIdio-ventricular Rhythm and the Effect of Acetylcholine Table I shows the change in rate produced in the isolated perfused rabbit heart by excision of the atria and severance of the atrio-ventricular b...