INVESTIGATION OF CARDIAC ELECTROPHYSIOLOGY IN HUMAN VENTRICULAR TISSUE

作者: Kathleen Brownson

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摘要: OF THESIS INVESTIGATION CARDIAC ELECTROPHYSIOLOGY IN HUMAN VENTRICULAR TISSUE Individuals with cardiomyopathy are at higher risk to die from sudden cardiac arrest than those non-failing (NF) hearts. This study examined the differences in electrical properties of failing and NF human hearts terms memory through explicit control diastolic intervals a sinusoidal fashion, restitution action potential duration (APD) standard dynamic pacing protocols, maximum rate depolarization APD alternans. Recordings transmembrane potentials were made tissues extracted patients heart failure one donor heart. Computational simulations performed using O’Hara Rudy model for generating surrogates data. Significant seen between left ventricular (LV) tissue LV tilt, measures area thickness during 400ms protocol. Minimum delay was also significantly 150ms Failing showed slope prolonged AP which is consistent previous studies hypothesized contribute increased susceptibility unstable further explored how disease alters functioning why these arrhythmia.

参考文章(60)
A. R. Yehia, A. Shrier, K. C. Lo, M. R. Guevara, Transient outward current contributes to Wenckebach-like rhythms in isolated rabbit ventricular cells American Journal of Physiology-heart and Circulatory Physiology. ,vol. 273, ,(1997) , 10.1152/AJPHEART.1997.273.1.H1
N. J. Severs, J. H. Smith, N. S. Peters, C. R. Green, S. Rothery, Altered patterns of gap junction distribution in ischemic heart disease. An immunohistochemical study of human myocardium using laser scanning confocal microscopy. American Journal of Pathology. ,vol. 139, pp. 801- 821 ,(1991)
Bryan McNally, Rachel Robb, Monica Mehta, Kimberly Vellano, Amy L Valderrama, Paula W Yoon, Comilla Sasson, Allison Crouch, A Bray Perez, Robert Merritt, Arthur Kellermann, Centers for Disease Control and Prevention, Out-of-hospital cardiac arrest surveillance --- Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005--December 31, 2010. Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002). ,vol. 60, pp. 1- 19 ,(2011)
Sawa Kostin, Markus Rieger, Sebastian Dammer, Stefan Hein, Manfred Richter, Wölf-Peter Klövekorn, Erwin P. Bauer, Jutta Schaper, Gap junction remodeling and altered connexin43 expression in the failing human heart Molecular and Cellular Biochemistry. ,vol. 242, pp. 135- 144 ,(2003) , 10.1007/978-1-4757-4712-6_18
K Hoshino, J Anumonwo, M Delmar, J Jalife, Wenckebach periodicity in single atrioventricular nodal cells from the rabbit heart. Circulation. ,vol. 82, pp. 2201- 2216 ,(1990) , 10.1161/01.CIR.82.6.2201
Robert D Nass, Takeshi Aiba, Gordon F Tomaselli, Fadi G Akar, Mechanisms of Disease: ion channel remodeling in the failing ventricle Nature Reviews Cardiology. ,vol. 5, pp. 196- 207 ,(2008) , 10.1038/NCPCARDIO1130
R C Saumarez, A J Camm, A Panagos, J S Gill, J T Stewart, M A de Belder, I A Simpson, W J McKenna, Ventricular fibrillation in hypertrophic cardiomyopathy is associated with increased fractionation of paced right ventricular electrograms. Circulation. ,vol. 86, pp. 467- 474 ,(1992) , 10.1161/01.CIR.86.2.467
K H Dangman, P Danilo, A J Hordof, L Mary-Rabine, R F Reder, M R Rosen, Electrophysiologic characteristics of human ventricular and Purkinje fibers. Circulation. ,vol. 65, pp. 362- 368 ,(1982) , 10.1161/01.CIR.65.2.362
Sanjiv M. Narayan, Michael R. Franz, Gautam Lalani, Jason Kim, Ashwani Sastry, T-wave alternans, restitution of human action potential duration, and outcome. Journal of the American College of Cardiology. ,vol. 50, pp. 2385- 2392 ,(2007) , 10.1016/J.JACC.2007.10.011
Steven Poelzing, David S. Rosenbaum, Altered connexin43 expression produces arrhythmia substrate in heart failure. American Journal of Physiology-heart and Circulatory Physiology. ,vol. 287, ,(2004) , 10.1152/AJPHEART.00346.2004