13th International Congress
THE "NEW FRONTIERS"
OF ARRHYTHMIAS 1998

January 24-31, 1998
Marilleva, Trento, Italy

RT-26

Effects of changing pacing pulse polarity, magnitude, and morphology on driven beats

Morton M. Mower.
The Johns Hopkins University School of Medicine, Baltimore, USA

Methods

A total of 39 New Zealand white rabbits weighing 4-5 kg were utilized in the various phases of this investigation. The animals were anesthetized with intravenous pentobarbital and heparin. The hearts were then rapidly excised, and retrograde perfusion carried out with a Langendorff apparatus.
A plaque array of multiple bipolar recording electrodes (0.7 mm inter-electrode distance, and 3 mm between pairs) was sutured to the left ventricle. Separate stimulating electrodes, bipolar plunge electrodes, an indifferent electrode, a floating fine tip micro-electrode with tip resistance > 10 ohms, and a fluid filled balloon catheter were placed. Once pacing thresholds were determined, a computer program was adjusted to generate the required trains of test pulses and record the data automatically.
In addition, preliminary data on contractility and hemodynamics were obtained in dogs using gated-MRI 6 techniques.
The time differences between the activation wavefronts reaching successive bipoles was used to compute the conduction velocity between successive electrodes, the maximum derivative of the upstroke was calculated from the intracellular recordings, and the hemodynamic parameters measured by hand from the pressure waveforms.

 

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