Document Detail


Coronary blood flow changes during atrioventricular sequential pacing with different atrioventricular delays in normal individuals.
MedLine Citation:
PMID:  9870008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study examined the effects of different atrioventricular (AV) intervals, during AV sequential pacing, on hemodynamics and coronary blood flow in individuals with normal hearts. Left anterior descending artery blood flow velocity was measured, using intracoronary Doppler, in 17 normal individuals. Five pacing tests were applied in random order for 5 min, at 15 beats/min above the sinus rate. Four tests using AV sequential pacing with AV intervals of 175, 150, 100, and 50 ms, and one using atrial pacing were applied. Mean flow velocity was 21 +/- 9 cm/s, 20 +/- 9 cm/s, 17 +/- 7 cm/s, 17 +/- 7 cm/s, and 22 +/- 10 cm/s, respectively (F = 8.87, p = .00001). The hemodynamic effects of these 5 pacing tests were assessed in 8 different normal subjects. Isovolumic relaxation time constant and left ventricular systolic pressure decreased, whereas right atrial pressure increased during AV sequential pacing with short AV intervals. Thus, during short-term AV sequential pacing at rest, coronary blood flow in a normal left anterior descending artery decreases with short AV intervals.
Authors:
Z S Kyriakides; T M Kolettis; T Popov; T Mesiskli; K Triantafillou; D T Kremastinos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing     Volume:  2     ISSN:  1383-875X     ISO Abbreviation:  J Interv Card Electrophysiol     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1999-01-20     Completed Date:  1999-01-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9708966     Medline TA:  J Interv Card Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  163-9     Citation Subset:  IM    
Affiliation:
2nd Department of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece. zskyr@otenet.gr
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MeSH Terms
Descriptor/Qualifier:
Atrial Function, Right / physiology
Atrioventricular Node / physiology*
Blood Flow Velocity / physiology
Blood Pressure / physiology
Cardiac Pacing, Artificial*
Cardiac Volume / physiology
Coronary Circulation / physiology*
Coronary Vessels / physiology
Female
Heart Rate / physiology
Hemodynamics / physiology
Humans
Male
Middle Aged
Myocardial Contraction / physiology
Systole
Time Factors
Ultrasonography, Doppler
Ultrasonography, Interventional
Ventricular Function, Left / physiology
Ventricular Pressure / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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