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May 1, 1986Pacing and Clinical Electrophysiology

Internal Cardiac Defibrillation Threshold: Effects of Acute Ischemia

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Key result

Acute myocardial ischemia in anesthetized pigs did not influence defibrillation success or the minimum energy required for defibrillation compared to controls.

Why the study?

Does acute myocardial ischemia affect the internal cardiac defibrillation threshold in a pig model?

Population

Halothane-anesthetized pigs

Comparison

Acute myocardial ischemia induced by ligating… vs Controls with loosely tied ligatures placed…

Design

Preclinical

Follow-up

Acute (30 minutes after coronary artery ligation)

Authors

DJDouglas L. JonesElectrophysiologyASAnand SohlaWestern UniversityGKGeorge J. KleinElectrophysiology

Discussion

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Implication

No adjustment to defibrillation thresholds indicated by acute ischemia; leaves open translation beyond this porcine model.

Structured PICO

Does acute myocardial ischemia affect the internal cardiac defibrillation threshold in a pig model?

P
Population
46 halothane-anesthetized pigs subjected to induced acute myocardial ischemia or control conditions to evaluate defibrillation success.
I
Intervention
Acute myocardial ischemia induced by ligating the left anterior descending artery in its distal third
C
Comparator
Controls with loosely tied ligatures placed around the artery at the same site
O
Outcome
Defibrillation threshold (minimum first shock energy successful in defibrillating the animal)surrogate

Acute myocardial ischemia does not appear to alter the internal cardiac defibrillation threshold in a porcine model.

Cite This Study

Jones et al. (1986) studied Ventricular fibrillation and acute myocardial ischemia (n=46). Acute myocardial ischemia (LAD ligation) vs. Controls (loosely tied ligatures) was evaluated on Defibrillation success with minimum energy above or below 30 J. Acute myocardial ischemia in anesthetized pigs did not influence defibrillation success or the minimum energy required for defibrillation compared to controls.

synapsesocial.com/papers/6a6b3d91547974b2dbf43debhttps://doi.org/10.1111/j.1540-8159.1986.tb04487.x
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors influencing the success of ventricular defibrillation in man.1979 · 105 citations
  2. 2Myocardial Necrosis from Direct Current Countershock1974 · 306 citations
  3. 3The Development of the Transvenous Automatic Defibrillator1972 · 89 citations
  4. 4Termination of Malignant Ventricular Arrhythmias with an Implanted Automatic Defibrillator in Human Beings1980 · 1,366 citations