Alternative definition : KEGG: Contraction of the heart is a complex process initiated by the electrical excitation
of cardiac myocytes (excitation-contraction coupling, ECC). In cardiac myocytes, Ca2
influx induced by activation of voltage-dependent L-type Ca channels (DHP receptors)
upon membrane depolarization triggers the release of Ca2 via Ca2 release channels
(ryanodine receptors) of sarcoplasmic reticulum (SR) through a Ca2 -induced Ca release
(CICR) mechanism. Ca2 ions released via the CICR mechanism diffuse through the cytosolic
space to contractile proteins to bind to troponinC resulting in the release of inhibition
induced by troponinI. The Ca2 binding to troponinC thereby triggers the sliding of
thin and thick filaments, that is, the activation of a crossbridge and subsequent
cardiac force development and/or cell shortening. Recovery occurs as Ca2 is pumped
out of the cell by the Na /Ca2 exchanger (NCX) or is returned to the sarcoplasmic
reticulum (SR) by sarco(endo)plasmic Ca2 -ATPase (SERCA) pumps on the non-junctional
region of the SR.;