<p>Current arrhythmia therapies such as ion channel blockers, catheter ablation, or implantable
cardioverter defibrillators have limitations and side effects, and given the proarrhythmic
risk associated with conventional, ion channel-targeted anti-arrhythmic drug therapies, a
new approach to arrhythmias may be warranted. Measuring and adjusting the level of particular
ions that impact heart rhythm can be a simple and low-complication strategy for preventing or
treating specific arrhythmias. In addition, new medicines targeting these ions may effectively
treat arrhythmias. Numerous studies have shown that intracellular and extracellular zinc concentrations
impact the heart's electrical activity. Zinc has been observed to affect cardiac rhythm
through a range of mechanisms. These mechanisms encompass the modulation of sodium, calcium,
and potassium ion channels, as well as the influence on beta-adrenergic receptors and the
enzyme adenylate cyclase.
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Moreover, zinc can either counteract or induce oxidative stress, hinder calmodulin or the enzyme
Ca (2+)/calmodulin-dependent protein kinase II (CaMKII), regulate cellular ATP levels, affect
the processes of aging and autophagy, influence calcium ryanodine receptors, and control cellular
inflammation. Additionally, zinc has been implicated in the modulation of circadian rhythm.
Additionally, zinc has been implicated in the modulation of circadian rhythm. In all the above
cases, the effect of zinc largely depends on the normal or increased cellular level of zinc, which
shows the importance of maintaining the serum and intracellular levels of zinc within the normal
range.</p>