RT Book, Section A1 Campen, Matthew J. A2 Klaassen, Curtis D. A2 Watkins, John B. SR Print(0) ID 1178015532 T1 Toxic Responses of the Heart and Vascular System T2 Casarett & Doull’s Essentials of Toxicology, 4e YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9781260452297 LK accesspharmacy.mhmedical.com/content.aspx?aid=1178015532 RD 2024/04/20 AB KEY POINTSTypical chemical-induced disturbances in cardiac function consist of effects on heart rate (chronotropic), contractility (inotropic), conductivity (dromotropic), and/or excitability (bathmotropic).Any xenobiotic that disrupts ion movement or homeostasis may induce a cardiotoxic reaction composed principally of disturbances in heart rhythm.All toxicants absorbed into the circulatory system contact vascular cells before reaching other sites in the body.Common mechanisms of vascular toxicity include (1) alterations in membrane structure and function, (2) redox stress, (3) vessel-specific bioactivation of protoxicants, and (4) preferential accumulation of the active toxin in vascular cells.