Global Bi-ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure canines
Abstract Background The objective of this study was to detect differences in the distribution of the left and right ventricle (LV & RV) activation rate (AR) during short-duration ventricular fibrillation (SDVF, <1 min) and long-duration ventricular fibrillation VF (LDVF, >1 min) in normal...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12872-017-0530-5 |
| _version_ | 1818991731981418496 |
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| author | Qingzhi Luo Qi Jin Ning Zhang Yanxin Han Yilong Wang Shangwei Huang Changjian Lin Tianyou Ling Kang Chen Wenqi Pan Liqun Wu |
| author_facet | Qingzhi Luo Qi Jin Ning Zhang Yanxin Han Yilong Wang Shangwei Huang Changjian Lin Tianyou Ling Kang Chen Wenqi Pan Liqun Wu |
| author_sort | Qingzhi Luo |
| collection | DOAJ |
| description | Abstract Background The objective of this study was to detect differences in the distribution of the left and right ventricle (LV & RV) activation rate (AR) during short-duration ventricular fibrillation (SDVF, <1 min) and long-duration ventricular fibrillation VF (LDVF, >1 min) in normal and heart failure (HF) canine hearts. Methods Ventricular fibrillation (VF) was electrically induced in six healthy dogs (control group) and six dogs with right ventricular pacing-induced congestive HF (HF group). Two 64-electrode basket catheters deployed in the LV and RV were used for global endocardium electrical mapping. The AR of VF was estimated by fast Fourier transform analysis from each electrode. Results In the control group, the LV was activated faster than the RV in the first 20 s, after which there was no detectable difference in the AR between them. When analyzing the distribution of the AR within the bi-ventricles at 3 min of LDVF, the posterior LV was activated fastest, while the anterior was slowest. In the HF group, a detectable AR gradient existed between the two ventricles within 3 min of VF, with the LV activating more quickly than the RV. When analyzing the distribution of the AR within the bi-ventricles at 3 min of LDVF, the septum of the LV was activated fastest, while the anterior was activated slowest. Conclusions A global bi-ventricular endocardial AR gradient existed within the first 20 s of VF but disappeared in the LDVF in healthy hearts. However, the AR gradient was always observed in both SDVF and LDVF in HF hearts. The findings of this study suggest that LDVF in HF hearts can be maintained differently from normal hearts, which accordingly should lead to the development of different management strategies for LDVF resuscitation. |
| first_indexed | 2024-12-20T20:14:56Z |
| format | Article |
| id | doaj.art-378dc13d68d440399ca6063c051dfe62 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-20T20:14:56Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-378dc13d68d440399ca6063c051dfe622022-12-21T19:27:44ZengBMCBMC Cardiovascular Disorders1471-22612017-04-011711810.1186/s12872-017-0530-5Global Bi-ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure caninesQingzhi Luo0Qi Jin1Ning Zhang2Yanxin Han3Yilong Wang4Shangwei Huang5Changjian Lin6Tianyou Ling7Kang Chen8Wenqi Pan9Liqun Wu10Department of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of MedicineAbstract Background The objective of this study was to detect differences in the distribution of the left and right ventricle (LV & RV) activation rate (AR) during short-duration ventricular fibrillation (SDVF, <1 min) and long-duration ventricular fibrillation VF (LDVF, >1 min) in normal and heart failure (HF) canine hearts. Methods Ventricular fibrillation (VF) was electrically induced in six healthy dogs (control group) and six dogs with right ventricular pacing-induced congestive HF (HF group). Two 64-electrode basket catheters deployed in the LV and RV were used for global endocardium electrical mapping. The AR of VF was estimated by fast Fourier transform analysis from each electrode. Results In the control group, the LV was activated faster than the RV in the first 20 s, after which there was no detectable difference in the AR between them. When analyzing the distribution of the AR within the bi-ventricles at 3 min of LDVF, the posterior LV was activated fastest, while the anterior was slowest. In the HF group, a detectable AR gradient existed between the two ventricles within 3 min of VF, with the LV activating more quickly than the RV. When analyzing the distribution of the AR within the bi-ventricles at 3 min of LDVF, the septum of the LV was activated fastest, while the anterior was activated slowest. Conclusions A global bi-ventricular endocardial AR gradient existed within the first 20 s of VF but disappeared in the LDVF in healthy hearts. However, the AR gradient was always observed in both SDVF and LDVF in HF hearts. The findings of this study suggest that LDVF in HF hearts can be maintained differently from normal hearts, which accordingly should lead to the development of different management strategies for LDVF resuscitation.http://link.springer.com/article/10.1186/s12872-017-0530-5Ventricular FibrillationActivation RateHeart Failure |
| spellingShingle | Qingzhi Luo Qi Jin Ning Zhang Yanxin Han Yilong Wang Shangwei Huang Changjian Lin Tianyou Ling Kang Chen Wenqi Pan Liqun Wu Global Bi-ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure canines BMC Cardiovascular Disorders Ventricular Fibrillation Activation Rate Heart Failure |
| title | Global Bi-ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure canines |
| title_full | Global Bi-ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure canines |
| title_fullStr | Global Bi-ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure canines |
| title_full_unstemmed | Global Bi-ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure canines |
| title_short | Global Bi-ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure canines |
| title_sort | global bi ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure canines |
| topic | Ventricular Fibrillation Activation Rate Heart Failure |
| url | http://link.springer.com/article/10.1186/s12872-017-0530-5 |
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