Cardiac effects of calcium

Calcium determines contractility

  • Calcium entry into cardiac myocytes triggers a calcium-dependent release of calcium from the sarcolemma
  • Calcium binds to troponin resulting in sliding of the thick and thin filaments
  • Force of contraction depends on the amount of calcium bound to troponin
  • Therefore, the major factor that regulates the force of contraction is the level of intracellular calcium