Key result
Efferent sympathetic fibers to the right ventricular outflow tract are located in both the subepicardium and subendocardium, while vagal fibers penetrate intramurally.
Population
Canine model
Design
Preclinical
Authors
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May inform autonomic targeting during RVOT ablation; extends LV innervation models but leaves open human translation.
Efferent sympathetic and vagal innervation of the right ventricle resembles the left ventricle, but sympathetic fibers to the right ventricular outflow tract are located in both the subepicardium and subendocardium.
Ito et al. (1994) studied this question. Phenol and endocardial radiofrequency ablation was evaluated on Effective refractory period (ERP) shortening and lengthening during stimulation. Efferent sympathetic fibers to the right ventricular outflow tract are located in both the subepicardium and subendocardium, while vagal fibers penetrate intramurally.
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