0000000000150053
AUTHOR
Francisca Pelechano
Modifications in Ventricular Fibrillation and Capture Capacity Induced by a Linear Radiofrequency Lesion
[EN] Introduction and objectives: An analysis was made of the effects of a radiofrequency-induced linear lesion during ventricular fibrillation and the capacity to capture myocardium through high-frequency pacing. Methods: Using multiple epicardial electrodes, ventricular fibrillation was recorded in 22 isolated perfused rabbit hearts, analyzing the activation maps upon applying trains of stimuli at 3 different frequencies close to that of the arrhythmia: a) at baseline; b) after radio-frequency ablation to induce a lesion of the left ventricular free wall (length=10 [1] mm), and c) after lengthening the lesion (length=23 [2] mm). Results: Following lesion induction, the regularity of the r…
Changes in the Spectral Characteristics of Ventricular Fibrillation in Lesions Produced by Radiofrequency Ablation. An Experimental Study
INTRODUCTION AND OBJECTIVES Although electro- physiological databases contain information about changes in the time domain in lesions produced by radiofrequency ablation, very few data on changes in the frequency domain are available. The aim of this study was to investigate changes in the spectral characteristics of ventricular fibrillation in zones with radiofrequency lesions. METHODS Recordings of ventricular fibrillation were obtained in 11 isolated perfused rabbit heart preparations using a multiple epicardial electrode located on the left ventricular free wall. Spectral parameters derived by Fourier analysis before and after the creation of transmural radiofrequency lesions were compa…
Influencia del tipo de registro (unipolar o bipolar) en las características espectrales de los registros epicárdicos de la fibrilación ventricular. Estudio experimental
Introduction and objectives. The aim of this study was to examine the hypothesis that the recording mode (ie, unipolar or bipolar) affects the information obtained using spectral analysis techniques during ventricular fibrillation by carrying out an experiment using epicardial electrodes. Methods. Recordings of ventricular fibrillation were obtained in 29 isolated rabbit hearts using a multipleelectrode probe located on the left ventricular free wall. The parameter values obtained in the frequency domain (by Fourier analysis) using unipolar or bipolar electrodes, different interelectrode distances, and different orientations (ie, horizontal, vertical, or diagonal) were compared. Results. Ch…
Modificaciones de las características espectrales de la fibrilación ventricular en las lesiones producidas con radiofrecuencia. Estudio experimental
Introduccion y objetivos Aunque se dispone de informacion sobre las modificaciones en el dominio del tiempo de los registros electrofisiologicos en zonas lesionadas con radiofrecuencia, los datos disponibles en el dominio de la frecuencia son muy escasos. Se analizan las modificaciones de las caracteristicas espectrales de la fibrilacion ventricular en zonas lesionadas con radiofrecuencia. Metodos En 11 preparaciones de corazon aislado y perfundido de conejo, se registra la fibrilacion ventricular con un electrodo multiple epicardico situado en la pared libre ventricular izquierda. Se comparan los parametros espectrales obtenidos mediante analisis de Fourier antes y despues de practicar les…
Effects of chronic exercise on myocardial refractoriness: a study on isolated rabbit heart
Aim: To determine whether chronic physical training increases atrial and ventricular refractoriness in isolated rabbit heart. Methods: Trained rabbits were submitted to a protocol of treadmill running. The electrophysiological parameters of refractoriness investigated in an isolated heart preparation were: (1) atrial effective refractory period (AERP) and atrial functional refractory period and ventricular effective and functional refractory periods (VERP and VFRP) using the extrastimulus technique at four different pacing cycle lengths; (2) the dominant frequency (DF) of ventricular fibrillation (VF). A multi-electrode plaque containing 256 electrodes and a spectral method were used to o…
Modificaciones de la fibrilación ventricular y de la capacidad de captura inducidas por una lesión lineal con radiofrecuencia
Resumen Introduccion y objetivos Analizar los efectos, en la fibrilacion ventricular y en la capacidad de capturar al miocardio mediante estimulacion a frecuencias rapidas, de una lesion lineal producida con radiofrecuencia. Metodos En 22 corazones de conejo aislados y perfundidos, se utilizaron electrodos multiples epicardicos para registrar la fibrilacion ventricular. Se analizaron los mapas de activacion al aplicar trenes de estimulos a tres frecuencias distintas, cercanas a las de la arritmia, en tres situaciones: a) basalmente; b) tras producir con radiofrecuencia una lesion en la pared libre del ventriculo izquierdo (longitud, 10 ± 1 mm), y c) tras ampliar su extension (longitud, 23 ±…
A novel multielectrode for epicardial recording with temperature control based in Peltier cells
Electrophysiological parameters of the myocardium are influenced by temperature. Working with experimental models of isolated heart, the analysis of modulating effect exerted by local changes of temperature can provide some information about the mechanisms of certain arrhythmias and their electrophysiological bases, such as ventricular fibrillation. Conventional multiple electrodes do not seem to be appropriate, being necessary the development of specific devices. The design and implementation of a device adapted to these requirements is presented in this paper. This is a multi-electrode able to reproduce located and controlled conditions of hypothermia and hyperthermia, in a determined are…
2D Isochronal Correlation Method to Detect Pacing Capture during Ventricular Fibrillation
During ventricular fibrillation (VF), a portion of myocardial tissue can be captured by pacing at a rate near the fibrillation rate. Interruption of ventricular fibrillation can be favored by achieving stable myocardial capture, lowering the energy required for electrical cardioversion. Existence of myocardial capture during electrical stimulation is determined by visual inspection of electrograms (EGM) by an experienced observer. The objective of this work is the development of a semi-automatic method for the detection of myocardial capture based on the 2D correlation of isochronal maps. In 4 isolated rabbit hearts VF was induced by ventricular pacing with an increasing rate. An array of 1…
Efectos de la estreptomicina en las modificaciones de la activación miocárdica durante la fibrilación ventricular inducidas por el estiramiento
Se ha evaluado si las modificaciones en la activacion miocardica durante la fibrilacion ventricular producidas por el estiramiento agudo pueden ser contrarrestadas por un bloqueador de los receptores sensibles al estiramiento. En 16 corazones aislados de conejo, se ha analizado la refractariedad y la frecuencia de activacion durante la fibrilacion ventricular antes, durante y despues de producir un estiramiento agudo localizado en la pared libre del ventriculo izquierdo, en ausencia (serie A, n = 8) o en presencia (serie B, n = 8) de estreptomicina 200 μmol. Durante la perfusion de estreptomicina (serie B), tanto basalmente como durante y despues del estiramiento, la fibrilacion ventricular…
Effect of Streptomycin on Stretch-Induced Change in Myocardial Activation During Ventricular Fibrillation
The aim of this study was to determine whether the changes in myocardial activation pattern resulting from acute stretching during ventricular fibrillation can be counteracted by administering a compound that blocks receptors sensitive to stretch. The study involved 16 isolated rabbit hearts, in which refractoriness and activation frequency during ventricular fibrillation were measured before, during and after localized acute stretching of the left ventricular free wall, either without (series A, n=8) or with (series B, n=8) the presence of streptomycin, 200 micromol. At baseline and during and after stretching, ventricular fibrillation was slower with streptomycin perfusion in series B tha…