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April 1, 1992European Heart Journal

The time sequence of electrical and mechanical activation during spontaneous beating and ectopic stimulation

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Population

Open-chest dogs (n=11)

Comparison

Right ventricular outflow tract pacing and left… vs Spontaneous beating

Design

Preclinical

Key result

In open-chest dogs, the delay between basal and apical activation was consistently larger for mechanical than electrical activation during spontaneous beating (20.5 vs 8.8 ms, P<0.05).

Authors

FPFrits W. PrinzenCACornelis H. AugustijnAMAllessie Ma

Discussion

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Overview

Should not change CRT practice; hypothesis-generating for electromechanical asynchrony mechanisms in translational models.

Structured PICO

P
Population
Open-chest dogs (n=11)
I
Intervention
Right ventricular outflow tract pacing and left ventricular apex pacing
C
Comparator
Spontaneous beating
O
Outcome
Relation between the sequence of electrical (E) and mechanical (M) activation at the LV anterior wallsurrogate

Main Result

p-value: p=<0.05

Mechanical asynchrony in the heart exceeds electrical asynchrony because the electromechanical delay increases in later-activated regions.

Cite This Study

Prinzen et al. (1992) studied Normal cardiac physiology (n=11). Right ventricular outflow tract pacing and left ventricular apex pacing vs. Spontaneous beating was evaluated on Delay between activation of basal and apical regions for mechanical vs electrical activation (p=<0.05). In open-chest dogs, the delay between basal and apical activation was consistently larger for mechanical than electrical activation during spontaneous beating (20.5 vs 8.8 ms, P<0.05).

synapsesocial.com/papers/6a0c05a83b45b6e80888523ehttps://doi.org/10.1093/oxfordjournals.eurheartj.a060210
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Relationship Between Regional Shortening and Asynchronous Electrical Activation in a Three‐Dimensional Model of Ventricular Electromechanics2003 · 77 citations
  2. 2Evolution of activation dynamics during early stages of electrically-induced ventricular fibrillation2002 · 1 citations
  3. 3Numerical evaluation of cardiac mechanical markers as estimators of the electrical activation time2019 · 1 citations
  4. 4Observations on the Epicardial Activation of the Normal Human Heart1992 · 5 citations
  5. 5Asynchrony of ventricular activation affects magnitude and timing of fiber stretch in late-activated regions of the canine heart2007 · 28 citations