Abstract
The elementary event of Ca$^2+$ release in heart is the Ca$^2+$
spark. It occurs at a low rate during diastole, activated only by
the low cytosolic Ca$^2+$(i). Synchronized activation of many
sparks is due to the high local Ca$^2+$(i) in the region surrounding
the sarcoplasmic reticulum (SR) Ca$^2+$ release channels and
is responsible for the systolic Ca$^2+$(i) transient. The biophysical
basis of this calcium signaling is discussed. Attention is placed
on the local organization of the ryanodine receptors (SR Ca$^2+$
release channels, RyRs) and the other proteins that underlie and
modulate excitation-contraction (EC) coupling. A brief review of
specific elements that regulate SR Ca$^2+$ release (including
SR lumenal Ca$^2+$ and coupled gating of RyRs) is presented.
Finally integrative calcium signaling in heart is presented in the
context of normal heart function and heart failure.
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