| Popis: |
Background — The aim of the work was to study the influence of myocardial repolarization on the indices of the pump function in animals with different types of the myocardial activation (dog, amphibians) under ectopic excitation of the ventricles. Material and Methods — Intraventricular blood pressure in animals was measured using a hemodynamic Prucka MacLab 2000 system under basal and apical locations of the stimulating electrode on the ventricles of the heart. The activation-recovery intervals (ARIs) were determined from unipolar myocardial electrograms recorded in the intramural layers of apical and basal parts of the ventricles in dog (n=16) and amphibians (toads Bufo bufo, n=11; frogs Rana temporaria, n=23). Data are presented as median with lower and upper quartiles. Results — The pacing of the left ventricle apical area in dogs with more prolonged ARIs, as compared with the base, does not change the isovolumic indices of the left ventricle pump function. However, ARIs were longer at the ventricular base – 248 (206, 260) ms for dog’s right ventricle and 742 (680, 929) ms for froggy ventricle, as compared with the apex in the canine right ventricle – 238 (219, 249) ms, and the ventricle in the amphibians – 692 (637, 860) ms. Therefore, pacing of the right ventricle in the apical area in dog and ventricular apex in amphibians leads to a significant decrease of their pump function. Conclusion — In the animals with successive (amphibians) and flash-successive (dog) types of activation of the myocardium, parameters of the pump function of ventricles were better at pacing of the area with the longest repolarization at the baseline and worse at pacing of the shortest repolarization area. |
