The effects of remodeling with heart failure on mode of initiation of ventricular fibrillation and its spatiotemporal organization

Autor: Thomas H. Everett, Jeffrey E. Olgin, George S. Hulley, Roger Chang, Emily E. Wilson, Ken W. Lee
Rok vydání: 2015
Předmět:
Zdroj: Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, vol 43, iss 3
Popis: PurposeThe effect of the heart failure substrate on the initiation of ventricular fibrillation (VF) and its resulting mechanism is not known. The objective of this study was to determine the effects of substrate on VF initiation and its spatiotemporal organization in the heart failure model.MethodsOptical action potentials were recorded from LV wedge preparations either from structurally normal hearts (control, n = 11) or from congestive heart failure (CHF; n = 7), at the epicardial surface, endocardial surface which included a papillary muscle, and a transmural cross section. Action potential duration (APD(80)) was determined, and VF was initiated. A fast Fourier transform was calculated, and the dominant frequency (DF) was determined.ResultsThe CHF group showed increased VF vulnerability (69 vs 26 %, p
Databáze: OpenAIRE