4 Moderate (2 μg/ml) to high (10 μg/ml) concentrations of the drug depressed max in Purkinje fibres stimulated at 2 Hz by 12 and 42% respectively and depressed `membrane responsiveness'. The decrease in max depended upon the stimulation rate, being minimum at the lowest (1 Hz) and maximum at the highest (4 Hz) stimulation rate.
5 The drug (2 μg/ml) improved max of the earliest propagated premature action potentials by shifting the takeoff potential to more negative levels in both Purkinje and ventricular fibres.
6 Membrane conductance in fibres mounted in a single sucrose gap chamber was increased by the drug (2 μg/ml) in both fibre types in normal and in Na+-deficient solutions. This increase was attributed to an increase in membrane K+ permeability produced by the drug.
7 All these effects are similar to those of lignocaine, diphenylhydantoin or aprindine, and can explain the antiarrhythmic action of mexiletine.