Coexistence of two types of ventricular fibrillation during acute regional ischemia in rabbit ventricle

Yen Bin Liu, Hui Nam Pak, Scott T. Lamp, Yuji Okuyama, Hideki Hayashi, Tsu Juey Wu, James N. Weiss, Peng Sheng Chen, Shien Fong Lin

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Abstract

Two Types of VF in Regional Ischemia. Introduction: We previously reported that a normal ventricle can demonstrate two types of ventricular fibrillation (VF), depending on the underlying electrophysiologic characteristics at the time of VF induction. We hypothesize that the two types of VF can coexist in acutely ischemic ventricles. Methods and Results: Optical mapping studies were performed with di-4ANEPPS in 15 Langendorff-perfused rabbit hearts. Coronary artery branches were ligated to create regional ischemia in 10 hearts. Action potential duration measured to 50% repolarization (APD50) during ischemia showed an area with uniformly shortened APD50 (zone 1), an area with normal or lengthened APD50 (Zone 3), and an area in between with an APD50 gradient (zone 2). Ischemia flattened APD restitution (APDR) slope and reduced conduction velocity in zone 1, creating a condition for type II VF. APDR steepened and the conduction velocity changed little in the nonischemic zone (zone 3), creating a condition for type I VF. During induced VF, the dominant frequency in zones 2 and 3 progressively increased after ischemia onset. The dominant frequency in zone 1 (ischemic zone) first decreased and then slightly increased but typically remained less than the dominant frequency in zone 3. The number of wavebreaks increased with time in all three zones (baseline: 4.3 ± 1.5; 30 min: 11.7 ± 5.6; 60 min: 15.6 ± 11 per frame; P < 0.01). Conclusion: Two types of VF can coexist during acute regional ischemia. Both ischemic and nonischemic regions develop proarrhythmic changes during regional ischemia, thus contributing to increased ventricular vulnerability to VF and sudden death during acute coronary occlusion.

Original languageEnglish
Pages (from-to)1433-1440
Number of pages8
JournalJournal of Cardiovascular Electrophysiology
Volume15
Issue number12
DOIs
Publication statusPublished - 2004 Dec 1

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All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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