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November 1, 2003Journal of Cardiovascular ElectrophysiologyOpen Access

Optical Mapping of Transmural Activation Induced by Electrical Shocks in Isolated Left Ventricular Wall Wedge Preparations

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Population

Isolated coronary perfused preparations of porcine left ventricle (n=9)

Design

Preclinical

Authors

OSOleg F. SharifovUniversity of Alabama at BirminghamVFVladimir G. FastUniversity of Alabama at Birmingham

Discussion

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Overview

Animal data link intermediate shocks to rapid ventricular activation; leaves open translation to clinical defibrillation energy selection.

Structured PICO

P
Population
Isolated coronary perfused preparations of porcine left ventricle (n=9)
I
Intervention
Rectangular electrical shocks (duration = 10 ms; field strength, E = 1-44 V/cm) applied across preparations via large mesh electrodes during diastole or action potential (AP) plateau
O
Outcome
Vm responses and transmural activation patterns (latency and time of transmural activation)surrogate

Electrical shocks applied during diastole cause direct and rapid activation of the ventricular bulk, supporting the excitatory hypothesis of defibrillation.

Cite This Study

Sharifov et al. (2003) studied this question.

synapsesocial.com/papers/6a71981b75498292b70b04d7https://doi.org/10.1046/j.1540-8167.2003.03188.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intramural Virtual Electrodes During Defibrillation Shocks in Left Ventricular Wall Assessed by Optical Mapping of Membrane Potential2002 · 63 citations
  2. 2Activation of Cardiac Tissue by Extracellular Electrical Shocks1998 · 136 citations
  3. 3Virtual Electrode–Induced Reexcitation1999 · 117 citations
  4. 4Dose-dependent reduction of cardiac transmembrane potential by high-intensity electrical shocks1997 · 48 citations
  5. 5Transmembrane potential changes caused by shocks in guinea pig papillary muscle1996 · 49 citations