In vivo measurements of atrial repolarization alternans based on standard pacemaker technology

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Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
In vivo measurements of atrial repolarization alternans based on standard pacemaker technology
Journal
Computers in Cardiology
Author(s)
Jousset F., Vesin J.M., Pascale P., Ruchat P., Schaefer S., Fromer M., Pruvot E.
ISSN
0276-6574
Publication state
Published
Issued date
2009
Volume
36
Pages
145-148
Language
english
Notes
36th Annual Computers in Cardiology Conference, Park City, Utah, USA, September 13-16, 2009
Abstract
It has been shown that repolarization alternans, a beat-to-beat alternation in action potential duration, enhances dispersion of repolarization above a critical heart rate and promotes susceptibility to ventricular arrhythmias. It is unknown whether repolarization alternans is measurable in the atria using standard pacemakers and whether it plays a role in promoting atrial fibrillation. In this work, atrial repolarization alternans amplitude and periodicity are studied in a sheep model of pacing-induced atrial fibrillation. Two pacemakers, each with one right atrial and ventricular lead, were implanted in 4 male sheep after ablation of the atrioventricular junction. The first one was used to deliver rapid pacing for measurements of right atrial repolarization alternans and the second one to record a unipolar electrogram. Atrial repolarization alternans appeared rate-dependent and its amplitude increased as a function of pacing rate. Repolarization alternans was intermittent but no periodicity was detected. An increase of repolarization alternans preceding episodes of non-sustained atrial fibrillation suggests that repolarization alternans is a promising parameter for assessment of atrial fibrillation susceptibility.
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08/07/2014 14:57
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