Document Detail

Effects of upright posture on anterograde and retrograde atrioventricular conduction in patients with coronary artery disease, mitral valve prolapse or no structural heart disease.
MedLine Citation:
PMID:  3630946     Owner:  NLM     Status:  MEDLINE    
To assess the effects of posture on anterograde and retrograde atrioventricular conduction, electrophysiologic testing was performed in 25 patients in both the supine and 45 degrees upright positions on a tilt table. Retrograde conduction was present during ventricular pacing in 17 patients in the supine position; all 17 continued to manifest retrograde conduction in the upright position. In all patients with absent retrograde conduction while supine, retrograde conduction could not be demonstrated while upright. Upright posture significantly (p less than 0.05) shortened the sinus cycle length (from 808 +/- 34 to 678 +/- 26 ms, mean +/- standard error of the mean), AH interval during sinus rhythm (78 +/- 6 to 69 +/- 6 ms), and AH interval during atrial pacing at cycle length 500 ms (123 +/- 13 to 91 +/- 9 ms). Total atrioventricular conduction time during atrial pacing shortened significantly (from 169 +/- 13 to 136 +/- 10 ms), as did ventriculoatrial conduction time during ventricular pacing (from 192 +/- 9 to 178 +/- 7 ms). Upright posture also significantly shortened both anterograde block cycle length (390 +/- 20 to 328 +/- 17 ms) and retrograde block cycle length (466 +/- 27 to 354 +/- 18 ms). However, the effect of upright posture on retrograde block cycle length was significantly greater than on anterograde block cycle length: a 21% decrease retrograde vs a 14% decrease anterograde (p less than 0.05). These effects may produce clinically important changes in characteristics of arrhythmias that depend on the properties of anterograde and retrograde conduction.(ABSTRACT TRUNCATED AT 250 WORDS)
D E Mann; J E Sensecqua; A R Easley; M J Reiter
Related Documents :
2242536 - Effect of nontransmural necrosis on epicardial potential fields. correlation with fiber...
12656796 - Diagnosis of acute myocardial infarct with ventricular paced rhythm.
3425756 - Increased heart rate accelerates norepinephrine washout from normal myocardium.
3341206 - Limited value of programmed electrical stimulation from multiple right ventricular paci...
15680826 - Evaluation of ventral cardiac denervation as a prophylaxis against atrial fibrillation ...
1584326 - Exacerbation of latent heart failure by mild hypocalcemia after parathyroidectomy in a ...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  60     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1987-10-19     Completed Date:  1987-10-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  625-9     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Atrioventricular Node / physiology*
Cardiac Pacing, Artificial*
Coronary Disease / physiopathology*
Heart Conduction System / physiology*
Mitral Valve Prolapse / physiopathology*
Time Factors

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

Previous Document:  Intraoperative comparison of sequential-pulse and single-pulse defibrillation in candidates for auto...
Next Document:  Opossum adrenal medulla: I. Postnatal development and normal anatomy.