Key result
Acute myocardial ischemia induced by coronary occlusion shifted epicardial potential frequencies, increasing low-frequency power to 140% and decreasing high-frequency power to 5% of control.
Acute myocardial ischemia causes a shift in the spectral components of local epicardial potentials from high to lower frequencies.
Hypothesis-generating for spectral ischemia monitoring; human validation needed before any clinical use.
In order to study the dependence of the frequency content of the epicardial signal on local myocardial perfusion, beat-to-beat spectral analysis was applied to an epicardial electrocardiogram following coronary occlusion. Electrocardiograms were recorded from 13 anesthesized dogs prior to and following the ligation of the left anterior descending coronary artery, using a bipolar electrode placed on the epicardial surface of the left ventricle. The power spectrum of the first and every fifteenth subsequent electrographic waveform (up to 500) was evaluated using fast Fourier transform. The frequency domain was divided into three ranges: 2-40 Hz, 40-150 Hz, and 150-250 Hz. The power of the low-frequency range showed a gradual buildup to 140% of control after 50 heart beats. In the mid-frequency range, the power showed a monotonous decrease following the occlusion, reaching 16% of control at wave 500. In the high-frequency range, the power gradually decreased to 5% of the control value. These observations show that the high-frequency spectral components of the local epicardial potential are shifted by myocardial ischemia to lower frequencies.< <ETX xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">></ETX>
No takes yet. Share an insight, caveat, or question.
Mor‐Avi et al. (2003) studied Acute myocardial ischemia (n=13). Ligation of the left anterior descending coronary artery vs. Prior to ligation (control) was evaluated on Power spectrum of epicardial electrographic waveform. Acute myocardial ischemia induced by coronary occlusion shifted epicardial potential frequencies, increasing low-frequency power to 140% and decreasing high-frequency power to 5% of control.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: