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Voltage- dependent P/Q-type calcium channel subunit alpha-1A Voltage- dependent L-type calcium channel subunit beta-1 Voltage- dependent calcium channel subunit alpha-2/delta-2 Ryanodine receptor 2 Tropomyosin alpha-1 chain Tropomyosin beta chain Sodium channel protein type 5 subunit alpha Potassium voltage-gated channel subfamily D member 3 Kv channel- interacting protein 2 Potassium voltage-gated channel subfamily E member 2 Potassium voltage-gated channel subfamily H member 2 Putative Dol-P- Glc:Glc(2)Man(9)GlcNAc(2)- PP-Dol alpha-1,2- glucosyltransferase Potassium voltage-gated channel subfamily KQT member 1 Potassium voltage-gated channel subfamily E member 1 ATP-binding cassette sub-family C member 8 ATP-sensitive inward rectifier potassium channel 8 ATP-sensitive inward rectifier potassium channel 11 ATP-binding cassette sub-family C member 9 Inward rectifier potassium channel 2 Inward rectifier potassium channel 4 Potassium voltage-gated channel subfamily A member 5 Disks large homolog 1 G protein- activated inward rectifier potassium channel 1 G protein- activated inward rectifier potassium channel 4 Potassium channel subfamily K member 1 Potassium/sodium hyperpolarization- activated cyclic nucleotide- gated channel 4 Voltage- dependent T-type calcium channel subunit alpha-1H Voltage- dependent T-type calcium channel subunit alpha-1G cAMP-dependent protein kinase catalytic subunit alpha cAMP Ca+ Benzocaine Ca+ Ca+ Ca+ K+ K+ K+ K+ K+ K+ K+ K+ K+ Na+ Na+ K+ Na+ Na+ Benzocaine cAMP-dependent protein kinase type I-alpha regulatory subunit Troponin Troponin Ca+ +40 0 -100 Membrane Potential (mV) Time Rapid Depolarization Repolarization Plateau 'Fast' Action Potential Muscle Contraction T-tubule Sarcoplasmic Reticulum Myosin unbound to actin Myosin bound to actin in powerstroke Cardiomyocyte Benzocaine inhibits sodium channels from allowing sodium influx in cardiomyocyte. This slows depolarization of action potentials Pacemaker Potential Benzocaine slows the rise of cardiac action potential through its sodium channel blockage, and shortens the repolarization period, reducing the overall duration of the action potential Benzocaine enters the muscle cell by passive diffusion Benzocaine binds to sodium ion channels, locking them in an open state and preventing the influx of sodium ions needed for depolarization By slowing depolarization, the cell cannot effectively propagate an action potential and electrical signals for ventricular contractions are slowed