Enhancement of ventricular gradient variability during acute myocardial ischemia

International Journal of Cardiology

Volumn 65, Issue 2, 1998, Pages 173-180

  Horinaka, Shigeo ^a   Yamamoto, Hideo ^a  

^a DOKKYO MEDICAL UNIVERSITY   (Japan)

Author keywords

Acute myocardial ischemia; Monophasic action potential; Ventricular gradient variability

Indexed keywords

ACTION POTENTIAL; ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY BLOOD FLOW; CORONARY ARTERY OBSTRUCTION; DOG; HEART BEAT; HEART MUSCLE ISCHEMIA; LEFT ANTERIOR DESCENDING CORONARY ARTERY; NONHUMAN; OXYGEN TISSUE LEVEL; PRIORITY JOURNAL; QRS COMPLEX; ST SEGMENT;

ACTION POTENTIALS; ANIMALS; BLOOD PRESSURE; DOGS; ELECTROCARDIOGRAPHY; HEART VENTRICLES; MYOCARDIAL ISCHEMIA;

EID: 0032128269     PISSN: 01675273     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0167-5273(98)00105-3     Document Type: Article

References (30)

1. Weiner DA, McCabe C, Hueter D, Ryan TJ, Hood WB The predictive value of anginal chest pain as an indicator of coronary disease during exercise testing. Am Heart J. 96:1978;458-462.
2. Wilson RF, Marcus ML, Christensen BV, Talman C, White CW Accuracy of exercise electrocardiography in detecting physiologically significant coronary arterial lesions. Circulation. 83:1991;412-421.
3. Ryan T., Vasey C.G., Presti C.F., O'Donnell J.A., Feigenbaum H., Armstrong W.F. Exercise echocardiography: detection of coronary artery disease in patients with normal left ventricular wall motion at rest. J Am Coll Cardiol. 11:1988;993-999.
4. Gould KL How accurate is thallium exercise testing for the diagnosis of coronary artery disease? J Am Coll Cardiol. 14:1989;1487-1490.
5. Horinaka S, Yamamoto H, Tabuchi T, Takada M, Akabane T, Onoda M, Yagi S. New electrocardiographic method for detection of ischemic heart disease: alterations in ventricular gradient. Proceedings of XXI International Congress of Electrocardiology, 1994 (Abstract).
6. Horinaka S, Yamamoto H, Tabuchi T, Takada M, Akabane T, Onoda M, Yagi S Ventricular gradient variability: new ECG method for detection of ischemic heart disease. J Electrocardiol. 28:1995;177-183.
7. Wilson FN, Macleod AG, Barker PS, Johnston FD The determination and the significance of the areas of the ventricular deflections of the electrocardiogram. Am Heart J. 10:1934;46-61.
8. Burger H A theoretical elucidation of the motion 'ventricular gradient'. Am Heart J. 53:1957;240-246.
9. Berkun MA, Kesselman RH, Donoso E, Grishman A The spatial ventricular gradient: intermittent Wolff-Parkinson-White syndrome, intermittent left bundle branch block and ventricular premature contractions. Circulation. 13:1956;562-572.
10. Kleber AG, Janse MJ, van Capelle FW, Durrer D Mechanism and time course of S-T and T-Q segment changes during acute regional myocardial ischemia in the pig heart determined by extracellular recordings. Circ Res. 42:1978;603-613.
11. Hashimoto H, Asano M, Nakashima M Potentiating effects of a ventricular premature beat on the alternation of ST-T complex of epicardial electrocardiograms and the incidence of ventricular arrhythmias during acute coronary artery occlusion in dogs. J Electrocardiol. 17:1984;229-301.
12. Kleinfeld MJ, Rozanski JJ Alternans of the ST segment in Prinzmetal's angina. Circulation. 55:1977;574-577.
13. Turitto G, El-Sherif N Alternans of the ST segment in variant angina. Chest. 93:1988;587-591.
14. Nearing BD, Huang AL, Verrier RL Dynamic tracking of cardiac vulnerability by complex demodulation of the T wave. Science. 252:1991;437-440.
15. McFee R, Parungao A An orthogonal lead system for clinical electrocardiography. Am Heart J. 62:1961;93-100.
16. Autenrieth G, Surawiz B, Kuo CS Sequence of repolarization on the ventricular surface in the dog. Am Heart J. 89:1975;463-469.
17. 2-induced alterations in hepatic flow and metabolism in the perfused liver in fasted rats. Anesth Analg. 79:1994;267-273.
18. Senders VL. Measurement and statistics; a basic text emphasizing behavioral science applications. New York: Oxford University Press, 1958:318.
19. Zehna PW. Probability distributions and statistics. Boston: Allyn and Bacon, 1970:326.
20. Khuri SF, Flaherty JT, O'Riordan JB, Pitt B, Brawley RK, Donahoo JS, Gott VL Change in intramyocardial ST segment voltage and gas tensions with regional myocardial ischemia in the dog. Circ Res. 37:1975;455-463.
21. Watanabe I, Johnson TA, Buchanan J, Engle CL, Gettes LS Effect of graded coronary flow reduction on ionic, electrical, and mechanical indexes of ischemia in the pig. Circulation. 76:1987;1127-1134.
22. Gould KL, Lipscomb K, Hamilton GW Physiologic basis for assessing critical coronary stenosis. Am J Cardiol. 33:1974;87-94.
23. Janse MJ, Wit AL Electrophysiological mechanisms of ventricular arrhythmias resulting from myocardial ischemia and infarction. Physiol Rev. 69:1989;1049-1169.
24. Gilmour RF, Zipes DP Different electrophysiological responses of canine endocardium and epicardium to combined hyperkalemia, hypoxia, and acidosis. Circ Res. 46:1980;814-825.
25. Kimura S, Basset AL, Kohya T, Kozlovskis PL, Myerburg RJ Simultaneous recording of action potentials from endocardium and epicardium during ischemia in the isolated cat ventricle: relation of temporal electrophysiologic heterogeneities to arrhythmias. Circulation. 74:1986;401-409.
26. Taggart P, Sutton PMI, Spear DW, Drake HF, Swanton RH, Emanuel RW Simultaneous endocardial and epicardial monophasic action potential recordings during brief periods of coronary artery legation in the dog: influence of adrenaline, beta blockade and alpha blockade. Cardiovasc Res. 22:1988;900-909.
27. Lukas A, Aztzelevitch C Differences in the electrophysiological response of canine ventricular epicardium and endocardium to ischemia. Circulation. 88:1993;2903-2915.
28. Dilly SG, Lab MJ Changes in monophasic action potential duration during the first hour of regional myocardial ischaemia in the anaesthetized pig. Cardiovasc Res. 21:1987;908-915.
29. Dilly SG, Lab MJ Electrophysiological alternans and restitution during acute regional ischemia in myocardium of anaesthetized pig. J Physiol. 402:1988;315-333.
30. Edmonds RE, Greenspan K, Fisch C Effect of cycle-length alteration upon the configuration of the canine ventricular action potential. Circ Res. 19:1966;602-610.