0000000000054289

AUTHOR

Germán Parra

0000-0001-7154-1806

Evaluation of the Complexity of Myocardial Activation During Ventricular Fibrillation. An Experimental Study

A B S T R A C T Introduction and objectives: An experimental model is used to analyze the characteristics of ventricular fibrillation in situations of variable complexity, establishing relationships among the data produced by different methods for analyzing the arrhythmia. Methods: In 27 isolated rabbit heart preparations studied under the action of drugs (propranolol and KB-R7943) or physical procedures (stretching) that produce different degrees of change in the complexity of myocardial activation during ventricular fibrillation, use was made of spectral, morphological, and mapping techniques to process the recordings obtained with epicardial multielectrodes. Results: The complexity of ve…

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Ranolazine induced modifications of ventricular fibrillation activation complexity under mechanical stretch

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Development and Long-Term Follow-Up of an Experimental Model of Myocardial Infarction in Rabbits

Simple Summary Ischemic heart disease is one of the leading causes of death. A series of processes occur during acute myocardial infarction that contribute to the development of ventricular dysfunction, with subsequent heart failure and ventricular arrhythmias, which account for most episodes of sudden cardiac death in these patients. These complications are associated with the adverse cardiac remodeling that occurs during the healing process following an acute episode. The remodeling causes the appearance of a substrate that can trigger life-threatening arrhythmias, such as tachycardia and/or ventricular fibrillation. The development of experimental models for analyzing the basic mechanism…

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Effect of chronic exercise on myocardial electrophysiological heterogeneity and stability. Role of intrinsic cholinergic neurons: A study in the isolated rabbit heart

[EN] A study has been made of the effect of chronic exercise on myocardial electrophysiological heterogeneity and stability, as well as of the role of cholinergic neurons in these changes. Determinations in hearts from untrained and trained rabbits on a treadmill were performed. The hearts were isolated and perfused. A pacing electrode and a recording multielectrode were located in the left ventricle. The parameters determined during induced VF, before and after atropine (1 mu M), were: fibrillatory cycle length (VV), ventricular functional refractory period (FRPVF), normalized energy (NE) of the fibrillatory signal and its coefficient of variation (CV), and electrical ventricular activatio…

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Dominant frequency and complexity of electrical reentrant activation during ventricular fibrillation with releasing of NO after acute local stretching. A study in isolated rabbit heart

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CaMKII inhibition reduces electrical activation heterogeneities caused by mechanical stretch in the myocardium

Abstract Introduction Ca2+/calmodulin-dependant protein kinase II (CaMKII) activity in cardiomyocytes plays a crucial role in their contractility. Increased CaMKII signalling has been associated with mechanical stretch, often caused in the border zone of myocardial infarction. CaMKII upregulation causes a mishandling of intracellular calcium, a precursor of multiple pro-arrhythmic mechanisms, such as early afterdepolarisations. Purpose In this study, we aim to quantify the effects of KN-93 -a CaMKII inhibitor- on wave dynamics, in order to investigate its effectiveness as an anti-arrhythmic agent. Methods An isolated Langendorff model was constructed based on rabbit hearts (n=18) and poster…

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An Experimental Model of Diet-Induced Metabolic Syndrome in Rabbit: Methodological Considerations, Development, and Assessment

In recent years, obesity and metabolic syndrome (MetS) have become a growing problem for public health and clinical practice, given their increased prevalence due to the rise of sedentary lifestyles and unhealthy eating habits. Thanks to animal models, basic research can investigate the mechanisms underlying pathological processes such as MetS. Here, we describe the methods used to develop an experimental rabbit model of diet-induced MetS and its assessment. After a period of acclimation, animals are fed a high-fat (10% hydrogenated coconut oil and 5% lard), high-sucrose (15% sucrose dissolved in water) diet for 28 weeks. During this period, several experimental procedures were performed to…

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Effect of chronic exercise and ATP-sensitive potassium channel blockade on the spectral characteristics evolution of ventricular fibrillation in acute regional ischemia

Purpose: It has been proposed that chronic exercise produces a KATP channel blockade in ischemic myocardium. We have also reported that channel blockade and training exert very similar effects on energy required to defibrillate. In fact it is postulated that one mechanism by which exercise exerts an antiarrhythmic effect, is by blocking KATP channel. We have analyzed the evolution of spectrum characteristics of ventricular fibrillation (VF), in normoxic conditions and after acute myocardial ischemia, in isolated hearts from trained rabbits, and in hearts submitted to KATP channel blockade. Our hypothesis is that the spectrum characteristics of VF evolve similarly in trained hearts and in he…

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Effects of exercise training on adrenergic and cholinergic responses of rabbit carotid artery

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Experimental study on the effects of physical training on the defibrillation threshold

Background: Chest compression artifacts during cardiopulmonary resuscitation (CPR) deteriorate the rhythm diagnosis of automated external defibrillators (AED). Cardiopulmonary resuscitation must therefore be interrupted for a reliable shock/no-shock decision. However, these hands-off intervals adversely affect the defibrillation success, and, in addition, pauses in chest compressions compromise circulation. An accurate diagnosis of the rhythmwhile performing CPR is therefore needed to minimize these hands-off intervals. Methods: The characteristics of the CPR artifact are very variable, and the artifact presents an important spectral overlap with human cardiac arrest rhythms. Consequently, …

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Evaluación de la complejidad de la activación miocárdica durante la fibrilación ventricular. Estudio experimental

Resumen Introduccion y objetivos Analizar en un modelo experimental las caracteristicas de la fibrilacion ventricular en situaciones con distintos grados de complejidad y establecer la relacion existente entre los datos aportados por distintos metodos de analisis de la arritmia. Metodos En 27 preparaciones de corazon aislado de conejo estudiadas bajo la accion de farmacos (propranolol y KB-R7943) o procedimientos fisicos (estiramiento) que causan distintos grados de variacion de la complejidad de la activacion miocardica durante la arritmia, se han utilizado tecnicas espectrales, morfologicas y cartograficas para procesar los registros obtenidos con multielectrodos epicardicos. Resultados L…

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Exercise Training Protocols in Rabbits Applied in Cardiovascular Research

Simple Summary Several animal models have been used to understand the physiological adaptations produced by exercise training in the healthy and diseased cardiovascular system. Among those, the protocols for acute and chronic exercise in rabbits present several advantages compared to other large animal models. In addition, the rabbit model has important physiological similarities with humans. On the other hand, the design of the training protocol is a key factor to induce the physiological adaptations. Here, we review the different training protocols used in rabbits and the different physiological adaptations produced in the cardiovascular system, in normal and pathological conditions. Abst…

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