Mechanisms of resetting reentrant circuits in canine ventricular tachycardia.

Abstract:

BACKGROUND:Resetting has been used to characterize reentrant circuits causing clinical tachycardias. METHODS AND RESULTS:To determine the mechanisms of resetting, sustained ventricular tachycardia was induced in dogs with 4-day-old myocardial infarctions by programmed stimulation. Premature stimulation was accomplished from multiple regions within reentrant circuits; resetting curves were constructed and compared with activation maps. Monotonically increasing responses, or a "mixed" response (increasing portion preceded by a flat portion), occurred. All reentrant circuits had a fully excitable gap. Interval-dependent conduction delay and concealed retrograde penetration led to increased resetting response curves. CONCLUSIONS:Multiple mechanisms revealed by mapping cause resetting of reentrant circuits.

journal_name

Circulation

journal_title

Circulation

authors

Hanna MS,Coromilas J,Josephson ME,Wit AL,Peters NS

doi

10.1161/01.cir.103.8.1148

subject

Has Abstract

pub_date

2001-02-27 00:00:00

pages

1148-56

issue

8

eissn

0009-7322

issn

1524-4539

journal_volume

103

pub_type

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