Document Detail


Temporal and spatial dispersion of repolarization during premature impulse propagation in human intact ventricular muscle: comparison between single vs double premature stimulation.
MedLine Citation:
PMID:  11227589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: This study was performed to determine whether or not the kinetics of action potential duration restitution during double premature stimuli (S3) differ from that during single premature stimuli (S2) in the human intact right ventricle. METHODS AND RESULTS: A monophasic action potential (MAP) was simultaneously recorded from the right ventricular apex (RVA) and outflow tract (RVOT) during programmed ventricular pacing in 11 patients with symptomatic bradyarrhythmias (five males, six females, mean age 58 years). In the five most recent patients, the RV pressure and its dp/dt were also obtained during the protocol. A substantial difference in the restitution of the MAP duration (MAPD) between S2 and S3 was observed at short diastolic intervals (< l00 ms), that is, the restitution curve of S2 showed an early biphasic pattern (upward hump), while such a phenomenon was not seen during the restitution of S3. All the quantitative parameters of MAPD restitution representing its kinetics were significantly greater in S3 than S2. Maximum attainable dispersion of repolarization between the two MAPs was significantly greater during S3 than S2 (76 +/- 17 vs 59 +/- 17 ms, P<0.05) and was mainly caused by the difference in the MAPD difference, thus by the difference in the restitution kinetics of S2 and S3. The dp/dt of the RV pressure was significantly greater during S3 than S2 for all diastolic intervals tested. CONCLUSION: It was concluded that similar to previously reported canine experimental studies, the APD restitution of S3 is substantially different from that of S2 in the human intact ventricle (endocardium).
Authors:
S Shimizu; Y Kobayashi; Y Miyauchi; K Ohmura; H Atarashi; T Takano
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  2     ISSN:  1099-5129     ISO Abbreviation:  Europace     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2001-02-28     Completed Date:  2001-04-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  201-6     Citation Subset:  IM    
Affiliation:
First Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Action Potentials
Electrocardiography
Electrophysiology
Female
Humans
Male
Middle Aged
Time Factors
Ventricular Function*

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


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