Factors influencing Excitability

Factors that increase excitability:
 
  • Sympathetic stimulation - Lowers the resting membrane potential - becoming more positive.
  • Mild Hyperkaleamia (increase in potassium concentration) - partial depolarisation
  • Hypocalcaemia (decrease in calcium concentration) - partial depolarisation
  • Adrenaline - similar to sympathetic stimulation
  • Digitalis - increase atrial muscle excitability
  • Mild Hypoxia - Partial depolarisation
  • Ischaemia - Partial depolarisation
Factors that decrease excitability:
 
  • Parasympathetic Stimulation - decreases excitability only of the atrial muscle cells
  • Hyponatreamia (decrease in sodium concentration)
  • Marked Hyperkaleamia - Marked depolarisation
  • Hypokaleamia - Hyperpolarisation
  • Hypercalceamia - decreases permeability to sodium
  • Acetyl choline - same as parasympthetic stimulation
  • Digitalis - decreases ventricular muscle excitability
  • Marked Hypoxia - marked depolarisation