In vivo measurements of atrial repolarization alternans based on standard pacemaker technology
Détails
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Etat: Public
Version: de l'auteur⸱e
Etat: Public
Version: de l'auteur⸱e
ID Serval
serval:BIB_B5A8DD518A6F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
In vivo measurements of atrial repolarization alternans based on standard pacemaker technology
Périodique
Computers in Cardiology
ISSN
0276-6574
Statut éditorial
Publié
Date de publication
2009
Volume
36
Pages
145-148
Langue
anglais
Notes
36th Annual Computers in Cardiology Conference, Park City, Utah, USA, September 13-16, 2009
Résumé
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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Création de la notice
08/07/2014 14:57
Dernière modification de la notice
20/08/2019 15:24