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2002 | 07 | 2 |

Tytuł artykułu

Impaired sinus node function and global atrial conduction time after high rate atrial pacing in dogs

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
In animal and human studies, it has been shown that atrial fibrillation shortens the atrial refractory period and impairs its rate adaptation. The objective of this study was to evaluate the effects of high-rate pacing on sinus node function and intra-atrial conduction. Eight dogs were subjected to rapid atrial pacing (AP) at 400 bpm for 16 days. Sinus node recovery time (SNRT) and P-wave duration were measured at baseline, immediately after AP and four weeks after the termination of AP. SNRT immediately after AP was significantly prolonged at all pacing rates compared to the baseline values. P-wave duration was significantly longer after AP relative to the baseline values. All the variables were completely reversible four weeks after the termination of pacing. Rapid AP induces sinus node dysfunction and prolongs the intra-atrial conduction time. It is possible that the electrical remodelling extends to the sinus node as well.

Wydawca

-

Rocznik

Tom

07

Numer

2

Opis fizyczny

p.383-384

Twórcy

autor
  • University Medical Centre Ljubljana, Zaloska 7, 1000 Ljubljana, Slovenia
autor
autor
autor

Bibliografia

  • 1. Nattel, S. Atrial electrophysiological remodelling caused by rapid atrial activation: underlying mechanism and clinical relevance to atrial fibrillation. Cardiovasc. Res. 42 (1999) 298-308.
  • 2. Elvan, A., Wylie, K. and Zipes, D. P. Pacing-induced chronic atrial fibrillation impairs sinus node function in dogs. Electrophysiological remodeling. Circulation 94 (1996) 2953-2960.
  • 3. Tse, H. F., Lau, C. P. and Ayers, G. M. Heterogenous changes in electrophysiological properties in the paroxysmal and chronically fibrillating human atrium. J. Cardiovasc. Electrophysiol. 10 (1999) 125-135.
  • 4. Yu, W. C., Lee, S. H., Tai, C. T., Tsai, C. F., Hsieh, M. H., Chen, C. C., Ding, Y. A., Chang, M. S. and Chen, S. A. Reversal of atrial electrical remodeling following cardioversion of long-standing atrial fibrillation in man. Cardiovasc. Res. 42 (1999) 470-476.

Typ dokumentu

Bibliografia

Identyfikatory

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