Key result
Ectopic heart electrostimulation in fish and amphibians caused a redistribution of local repolarization durations, making them longer than in zones of early activation (p < 0.05).
Ectopic ventricular stimulation in fish and amphibians alters repolarization duration distribution, causing the repolarization sequence to follow the depolarization sequence.
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Caution against clinical extrapolation; leaves open whether activation-repolarization coupling holds in mammals.
The distributions of repolarization durations and end of repolarization time were studied on the ventricular epicardium in pikes (Esox lucius) and frogs (Rana esculenta) and in the ventricular intramural layers in toads (Bufo bufo) at the ectopic heart excitation by using method of the synchronous multielectrode cartography (24 unipolar leads). The time of arrival of the excitation wave and the end of repolarization in each lead were determined from the minimum of time derivative of potential at the period of QRS complex and by minimum of T wave, respectively. It has been established that at the ventricle electrostimulation, alongside with deceleration and a change of sequence of myocardium activation, the redistribution occurs of the local durations of repolarization, being longer than in zones of early activation (p < 0.05). At stimulation, the apicobasal gradient of repolarization is predominantly changed due to electrophysiological processes in the apical areas. In all the studied species, at the ectopic excitation of the heart the sequence of its repolarization repeats the depolarization sequence due to a delay of activation (in fish) and redistribution of repolarization durations (in amphibians).
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Azarov et al. (2013) studied this question. Ectopic heart excitation (ventricle electrostimulation) was evaluated on Distributions of repolarization durations and end of repolarization time (p=<0.05). Ectopic heart electrostimulation in fish and amphibians caused a redistribution of local repolarization durations, making them longer than in zones of early activation (p < 0.05).
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