Effect of flecainide on atrial fibrillatory rate in a large animal model with induced atrial fibrillation

Autor: Eva Z. Hesselkilde, Helena Carstensen, Maria M. Haugaard, Jonas Carlson, Steen Pehrson, Thomas Jespersen, Rikke Buhl, Pyotr G. Platonov
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Cardiovascular Disorders, Vol 17, Iss 1, Pp 1-6 (2017)
Druh dokumentu: article
ISSN: 1471-2261
DOI: 10.1186/s12872-017-0720-1
Popis: Abstract Background Atrial fibrillatory cycle length has been considered one of the indices of atrial electrical remodelling during atrial fibrillation (AF), which can be assessed from surface ECG by computer-assisted calculation of atrial fibrillatory rate (AFR). Horses have been suggested as a bona fide model for AF studies since horses too, develop lone AF, however data on AF characteristics in horses are extremely sparse and non-invasive characterization of AF complexity using surface ECG processing has not been reported. Aim The aim was to study characteristics of induced AF and its modification by flecainide. Methods The study group consisted on 3 horses with spontaneous persistent AF and 13 with pace-induced AF. Seven horses were treated with saline (control) and eight with flecainide (2 mg/kg). ECGs were analysed using spatiotemporal cancellation of QRST complexes and calculation of AFR from the residual atrial signal. Results At AF onset, AFR was 295 ± 52 fibrillations per minute (fpm) in the horses with induced AF treated with flecainide, 269 ± 36 fpm in the control group (ns), and 364 ± 26 fpm in the horses with spontaneous persistent AF (P
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