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  4. Propagation velocity kinetics and repolarization alternans in a free-behaving sheep model of pacing-induced atrial fibrillation
 
research article

Propagation velocity kinetics and repolarization alternans in a free-behaving sheep model of pacing-induced atrial fibrillation

Pruvot, Etienne
•
Jousset, Florian
•
Ruchat, Patrick
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2007
Europace

Aims: Experimental models have reported conflicting results regarding the role of dispersion of repolarization in promoting atrial fibrillation (AF). Repolarization alternans, a beat-to-beat alternation in action potential duration, enhances dispersion of repolarization when propagation velocity is involved. Methods and results: In this work, original electrophysiological parameters were analysed to study AF susceptibility in a chronic sheep model of pacing-induced AF. Two pacemakers were implanted, each with a single right atrial lead. Right atrial depolarization and repolarization waves were documented at 2-week intervals. A significant and gradual decrease in the propagation velocity at all pacing rates and in the right atrial effective refractory period (ERP) was observed during the weeks of burst pacing before sustained AF developed when compared with baseline conditions. Right atrial repolarization alternans was observed, but because of the development of 2/1 atrioventricular block with far-field ventricular interference, its threshold could not be precisely measured. Non-sustained AF was not observed at baseline, but appeared during the electrical remodelling in association with a decrease in both ERP and propagation velocity. Conclusion: We report here on the feasibility of measuring ERP, atrial repolarization alternans, and propagation velocity kinetics and their potential in predicting susceptibility to AF in a free-behaving model of pacing-induced AF using the standard pacemaker technology.

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Type
research article
DOI
10.1093/europace/eum211
Web of Science ID

WOS:000251608700013

Author(s)
Pruvot, Etienne
Jousset, Florian
Ruchat, Patrick
Vesin, Jean-Marc  
Prudat, Yann
Zerm, Thomas
Fromer, Martin
Date Issued

2007

Published in
Europace
Volume

9

Issue

6

Start page

83

End page

88

Subjects

Atrial fibrillation

•

Repolarization alternans

•

Remodelling

•

Pacemaker

URL

URL

http://europace.oxfordjournals.org/cgi/content/abstract/9/suppl_6/vi83
Editorial or Peer reviewed

REVIEWED

Written at

OTHER

EPFL units
LTS  
Available on Infoscience
January 17, 2008
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/16297
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