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November 1, 1953Circulation ResearchOpen Access

Spread of Electrical Activity Through the Wall of the Ventricle

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Population

Ventricular tissue (specific model not specified in abstract)

Design

Preclinical

Authors

ASAllen M. ScherUniversity of WashingtonAYAllan C. YoungVirginia Mason Medical CenterAMARTHUR L. MALMGHENUniversity of Washington

Discussion

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Implication

Should not change clinical activation mapping; supports consensus endocardial-spread model in animals while leaving human translation open.

Key Points

  • To determine the pathway, speed, and spatial distribution of electrical impulse conduction through the ventricular wall.
  • Utilized multipolar recording techniques to measure electrical excitation through ventricular tissue.
  • Constructed three-dimensional isochronous planes within tissue blocks to visualize the direction and timing of impulse propagation.
  • Demonstrated rapid electrical conduction along the endocardium followed by slower syncytial spread across the full thickness of the ventricular wall.
  • Identified no evidence of electrical impulses propagating preferentially through individual cardiac muscle bundles.

Structured PICO

P
Population
Ventricular tissue (specific model not specified in abstract)
I
Intervention
Multipolar recording technics
O
Outcome
Spread of excitation through the wall of the ventriclesurrogate

This basic electrophysiology study demonstrates that ventricular excitation spreads rapidly along the endocardium followed by slower syncytial spread through the ventricular wall.

Cite This Study

Scher et al. (1953) studied this question.

synapsesocial.com/papers/6a1d199828423f2ce504c712https://doi.org/10.1161/01.res.1.6.539
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intramural Depolarization Potentials in Myocardial Infarction1953 · 67 citations
  2. 2IV. The excitatory process in the dog's heart. Part II.- The ventricles1915 · 287 citations
  3. 3The Mechanism and Graphic Registration of the Heart Beat.1925 · 818 citations