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April 1, 1992European Heart Journal130 citations

The time sequence of electrical and mechanical activation during spontaneous beating and ectopic stimulation

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Population

Open-chest dogs (n=11)

Comparison

Right ventricular outflow tract pacing and left… vs Spontaneous beating

Design

Preclinical

Key result

In open-chest dogs, the delay between basal and apical activation was consistently larger for mechanical than electrical activation during spontaneous beating (20.5 vs 8.8 ms, P<0.05).

Authors

FPFrits W. PrinzenCACornelis H. AugustijnAMAllessie Ma

Discussion

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Overview

Should not change CRT practice; hypothesis-generating for electromechanical asynchrony mechanisms in translational models.

Structured PICO

P
Population
Open-chest dogs (n=11)
I
Intervention
Right ventricular outflow tract pacing and left ventricular apex pacing
C
Comparator
Spontaneous beating
O
Outcome
Relation between the sequence of electrical (E) and mechanical (M) activation at the LV anterior wallsurrogate

Mechanical asynchrony in the heart exceeds electrical asynchrony because the electromechanical delay increases in later-activated regions.

Main Result

p-value: p=<0.05

Cite This Study

Prinzen et al. (1992) studied Normal cardiac physiology (n=11). Right ventricular outflow tract pacing and left ventricular apex pacing vs. Spontaneous beating was evaluated on Delay between activation of basal and apical regions for mechanical vs electrical activation (p=<0.05). In open-chest dogs, the delay between basal and apical activation was consistently larger for mechanical than electrical activation during spontaneous beating (20.5 vs 8.8 ms, P<0.05).

synapsesocial.com/papers/6a0c05a83b45b6e80888523ehttps://doi.org/10.1093/oxfordjournals.eurheartj.a060210
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