optical mapping analysis Tyrode connexin43 Sprague Dawley male 8 weeks old g n 64 ketamine hydrochloride 5 mg/kg

Size: px
Start display at page:

Download "optical mapping analysis Tyrode connexin43 Sprague Dawley male 8 weeks old g n 64 ketamine hydrochloride 5 mg/kg"

Transcription

1 14 Symposium 39 optical mapping SD Tyrode Na channel di 4 ANEPPS action potential duration dispersion APDd VTVF APDd VT/VF 30 1,2 3 optical mapping analysis connexin43 1 Sprague Dawley male 8 weeks old g n 64ketamine hydrochloride 5 mg/kg n 41 1 PhysioTel and DataquestTM, Data Sciences International, Bonpei Takase, et al. Pneumonectomy induced transient right ventricular pressure overload causes vulnerability to lethal arrhythmias 1616

2 Symposium St Paul, Minnesota, USA 2 8 MHz UF 750XT, Fukuda Denshi Co Ltd., Tokyo, Japan RV LV inter ventricular septum IVS RV/ LV IVS 3 optical mapping analysis 37 Tyrode CaCl2 [2], NaCl [140], KCl [4.5], dextrose [10], MgCl2 [1], and HEPES [10, ph 7.4], in mmol/l Tyrode Na di 4 ANEPPS [15 mol/ L] 40mL butanedione monoxime Wako Chemical, Tokyo, Japan, 20 mm optical mapping analysis high quality charge couple device CCD camera Leica , Geneva, Switzerland4 APD commercialized software Ultima 6006; Sei Media, Inc., Tokyo, Japan 5 5mm APD APD APD APD 60ms APD APD APD dispersion APD dispersion 3 20 burst pacing, 5, 50, 100V 40 ms interval, 20trains voltage paraformaldehyde phosphate buffer solution Wako Pure Chemical Industries Ltd ethanolparaffin hematoxylin and eosin, Elastica van Gieson Masson trichrome connexin43 Anti connexin43 monoclonal antibody 1 2,000, Sigma Aldrich, St. Louis, USA gap junction connexin APD dispersion 4 2 APD dispersion burst pacing 1617

3 16 Symposium [APD] ADP dispersion 1618

4 Symposium burst pacing A 1 100v 20 trains at RV outflow B 4 100v 20 trains at RV outflow 1619

5 18 Symposium 39 4 connexin43 1 Day 1 n 7 Day 4 n 7 1 week n 7 2 weeks n 20 4 weeks n 10 srvp mmhg RAP mmhg RV dilatation RV conduction disturbance VF/VT induction 3 APD dispersion connexin APD dispersion APD dispersion connexin

6 Symposium APD dispersion 3 4 connexin43 4, 5 APD dispersion stretch activated ion channel SAC APD connexin43 SAC APD dispersion 6, 7 SAC tarantula venom peptide GsMTx 4 1 Rubin LJ. Introduction: Diagnosis and management of pulmonar y arterial hypertension: ACCP evidence based clinical practice guideline. Chest 2004;126:7S 10S. 2 Kuriyama T. Clinical aspect of precapillary pulmonary hypertension, Nihon Kyobu Sikkan Gakkai Zasshi JP J Respir Disease 1992;30: Umar S, Lee JH, da Lange E, Iorga A, Partow Navid R, Bapat A, et al. Spontaneous ventricular fibrillation in right ventricular failure secondary to chronic pulmonary hypertension. Circ Arrhythm Electrophysiol 2012;5: Koura T, Hara M, Takeuchi S, Ota K, Okada Y, Miyoshi S, et al. Anisotropic conduction properties in canine atria analyzed by high resolution optical mapping: preferential direction of conduction block changes from longitudinal to transverse with increasing age. Circulation 2002;105: Sasano C, Honjo H, Takagishi Y, Uzzaman M, Emdad L, Shimizu A, et al. Internalization and dephosphorylation of connexin43 in hypertrophied right ventricles of rats with pulmonary hypertension. Circ J 2007;71: Kohl P, Bollensdorff C, Garny A. Effects of mechanosensitive ion channels on ventricular electrophysiology: experimental and theoretical models. Exp Physiol 2006;91: Morris CE, Juranka PF. Nav channel mechanosensitivity: activation and inactivation accelerate reversibly with stretch. Biophys J 2007;93:

Aberrant sodium influx causes cardiomyopathy and atrial fibrillation in mice

Aberrant sodium influx causes cardiomyopathy and atrial fibrillation in mice Aberrant sodium influx causes cardiomyopathy and atrial fibrillation in mice Elaine Wan, Jeffrey Adams, Richard L. Weinberg, Alexander N. Katchman, Joseph Bayne, Sergey I. Zakharov, Lin Yang, John P. Morrow,

More information

Microstructural Basis of Conduction II Introduction to Experimental Studies

Microstructural Basis of Conduction II Introduction to Experimental Studies Bioeng 6460 Electrophysiology and Bioelectricity Microstructural Basis of Conduction II Introduction to Experimental Studies Frank B. Sachse fs@cvrti.utah.edu Overview Microstructural Basis of Conduction

More information

Evolving pharmacologic antiarrhythmic treatment targets Ready for clinical practice?

Evolving pharmacologic antiarrhythmic treatment targets Ready for clinical practice? Evolving pharmacologic antiarrhythmic treatment targets Ready for clinical practice? David O. Arnar MD PhD EMPH Landspitali The National University Hospital of Iceland, Reykjavik Disclosures Consultant

More information

Modeling of Anatomy, Electrophysiology and Tension Development in the Human Heart

Modeling of Anatomy, Electrophysiology and Tension Development in the Human Heart European Functional Cardiac Modeling Meeting Modeling of Anatomy, Electrophysiology and Tension Development in the Human Heart Dr.-Ing. Gunnar Seemann Overview Electrophysiology Tension development Anatomy

More information

Acta Physiologica Sinica

Acta Physiologica Sinica , 1999 4, 51 (2), 187 192 187 Acta Physiologica Sinica 3 1998204222 1998206203 3 (No139500052) 3 3, 221002 3 3 3 3 3 (, 200031) ( Ito), 28 d (H28, 6 h/ d), Ito (16118 4161 6132 1135 pa/ pf, P < 0105),

More information

SUPPLEMENTAL MATERIAL

SUPPLEMENTAL MATERIAL SUPPLEMENTAL MATERIAL Supplemental methods Pericardium In several studies, it has been shown that the pericardium significantly modulates ventricular interaction. 1-4 Since ventricular interaction has

More information

Rabbit Model of Right Ventricular Hypertrophy Induced by Pulmonary Artery Banding

Rabbit Model of Right Ventricular Hypertrophy Induced by Pulmonary Artery Banding Faculty of Veterinary Medicine, Khon Kaen University 24th-25th April 2014 at Pullman Hotel, Khon Kaen, Thailand 143 Rabbit Model of Right Ventricular Hypertrophy Induced by Pulmonary Artery Banding Pradtana

More information

Clinical and Electrocardiographic Characteristics of Patients with Brugada Syndrome: Report of Five Cases of Documented Ventricular Fibrillation

Clinical and Electrocardiographic Characteristics of Patients with Brugada Syndrome: Report of Five Cases of Documented Ventricular Fibrillation J Arrhythmia Vol 25 No 1 2009 Original Article Clinical and Electrocardiographic Characteristics of Patients with Brugada Syndrome: Report of Five Cases of Documented Ventricular Fibrillation Seiji Takashio

More information

Large White newborn piglets ( 12 kg) were used in accordance with the Guide for the Care and Use of

Large White newborn piglets ( 12 kg) were used in accordance with the Guide for the Care and Use of SUPPLEMENTAL MATERIAL Methods Animal Model Large White newborn piglets ( 12 kg) were used in accordance with the Guide for the Care and Use of Laboratory Animals (NIH Publications No. 85-23, revised 1996)

More information

Models of Cardiac Electrophysiology:

Models of Cardiac Electrophysiology: Models of Cardiac Electrophysiology: A Useful Tool for Enhancing Experimental Research T. Alexander Quinn, PhD National Heart and Lung Institute, Imperial College London Department of Computer Science,

More information

Alterations in electrical coupling between ventricular

Alterations in electrical coupling between ventricular Pharmacological Modulation of Cardiac Gap Junctions to Enhance Cardiac Conduction Evidence Supporting a Novel Target for Antiarrhythmic Therapy Benjamin C. Eloff, MS*; Eran Gilat, DSc*; Xiaoping Wan, MD,

More information

BME 5742 Bio-Systems Modeling and Control. Lecture 41 Heart & Blood Circulation Heart Function Basics

BME 5742 Bio-Systems Modeling and Control. Lecture 41 Heart & Blood Circulation Heart Function Basics BME 5742 Bio-Systems Modeling and Control Lecture 41 Heart & Blood Circulation Heart Function Basics Dr. Zvi Roth (FAU) 1 Pumps A pump is a device that accepts fluid at a low pressure P 1 and outputs the

More information

Asyndrome of sudden death characterized by ST-segment

Asyndrome of sudden death characterized by ST-segment Ionic and Cellular Basis for the Predominance of the Brugada Syndrome Phenotype in Males José M. Di Diego, MD; Jonathan M. Cordeiro, PhD; Robert J. Goodrow, BS; Jeffrey M. Fish, DVM; Andrew C. Zygmunt,

More information

Comparative Biosciences Model of Monocrotaline-Induced Pulmonary Hypertension in Rats

Comparative Biosciences Model of Monocrotaline-Induced Pulmonary Hypertension in Rats Comparative Biosciences Model of Monocrotaline-Induced Pulmonary Hypertension in Rats Comparative Biosciences, Inc. 786 Lucerne Drive Sunnyvale, CA 94085 Telephone: 408.738.9260 www.compbio.com Comparative

More information

Computational Modeling of the Cardiovascular System

Computational Modeling of the Cardiovascular System ibiomep - International Doctoral Programme in Biomedical Engineering and Medical Physics Computational Modeling of the Cardiovascular System Microstructural Basis of Conduction Introduction to Functional

More information

Phase 2 Early Afterdepolarization as a Trigger of Polymorphic Ventricular Tachycardia in Acquired Long-QT Syndrome

Phase 2 Early Afterdepolarization as a Trigger of Polymorphic Ventricular Tachycardia in Acquired Long-QT Syndrome Phase 2 Early Afterdepolarization as a Trigger of Polymorphic Ventricular Tachycardia in Acquired Long-QT Syndrome Direct Evidence From Intracellular Recordings in the Intact Left Ventricular Wall Gan-Xin

More information

Stretching Cardiac Myocytes: A Finite Element Model of Cardiac Tissue

Stretching Cardiac Myocytes: A Finite Element Model of Cardiac Tissue Megan McCain ES240 FEM Final Project December 19, 2006 Stretching Cardiac Myocytes: A Finite Element Model of Cardiac Tissue Cardiac myocytes are the cells that constitute the working muscle of the heart.

More information

Commotio Cordis. Agitation of the Heart

Commotio Cordis. Agitation of the Heart Commotio Cordis Agitation of the Heart Man Young Lee, MD. Division of Cardiology, Dept. of Int. Med. Yeouido St. Mary s Hospital The Catholic University of Korea Commotio Cordis A form of Ventricular

More information

Mechanisms Underlying Conduction Slowing and Arrhythmogenesis in Nonischemic Dilated Cardiomyopathy

Mechanisms Underlying Conduction Slowing and Arrhythmogenesis in Nonischemic Dilated Cardiomyopathy Mechanisms Underlying Conduction Slowing and Arrhythmogenesis in Nonischemic Dilated Cardiomyopathy Fadi G. Akar, David D. Spragg, Richard S. Tunin, David A. Kass, Gordon F. Tomaselli Abstract Heart Failure

More information

Wavelets, Wavebreaks and Ventricular Fibrillation

Wavelets, Wavebreaks and Ventricular Fibrillation Wavelets, Wavebreaks and Ventricular Fibrillation Guy Salama University of Pittsburgh Supported by NIH RO1 HL70722, HL57929 and HL69097 and the Middle Atlantic American Heart Association Mechanisms Underlying

More information

Arrhythmia/Electrophysiology

Arrhythmia/Electrophysiology Arrhythmia/Electrophysiology Remodeling in Cells From Different Regions of the Reentrant Circuit During Ventricular Tachycardia Shigeo Baba, MD*; Wen Dun, PhD*; Candido Cabo, PhD; Penelope A. Boyden, PhD

More information

Introduction. Circulation

Introduction. Circulation Introduction Circulation 1- Systemic (general) circulation 2- Pulmonary circulation carries oxygenated blood to all parts of the body carries deoxygenated blood to the lungs From Lt. ventricle aorta From

More information

Endurance Exercise and Cardiovascular Health

Endurance Exercise and Cardiovascular Health Endurance Exercise and Cardiovascular Health Professor Sanjay Sharma St George s University of London St George s Hospital NHS Trust sasharma@sgul.ac.uk @SSharmacardio Conflicts/Disclosures: None Objectives

More information

Remodeling of Gap Junctional Coupling in Hypertrophied Right Ventricles of Rats With Monocrotaline-Induced Pulmonary Hypertension

Remodeling of Gap Junctional Coupling in Hypertrophied Right Ventricles of Rats With Monocrotaline-Induced Pulmonary Hypertension Remodeling of Gap Junctional Coupling in Hypertrophied Right Ventricles of Rats With Monocrotaline-Induced Pulmonary Hypertension Mahmud Uzzaman, Haruo Honjo, Yoshiko Takagishi, Luni Emdad, Anthony I.

More information

Acute effect of resistance exercise on arterial stiffness in healthy young women

Acute effect of resistance exercise on arterial stiffness in healthy young women ORIGINAL ARTICLES Acute effect of resistance exercise on arterial stiffness in healthy young women Kenta Kioi 1) Ryohei Yamamoto 2,3) Kohei Mori 1,3) Takuo Nomura 1,3) 1) Department of Rehabilitation Sciences,

More information

Pulmonary veins (PVs) have been demonstrated to be

Pulmonary veins (PVs) have been demonstrated to be Effects of Rapid Atrial Pacing on the Arrhythmogenic Activity of Single Cardiomyocytes From Pulmonary Veins Implication in Initiation of Atrial Fibrillation Yi-Jen Chen, MD; Shih-Ann Chen, MD; Yao-Chang

More information

Case Report. Faculty of Medicine, Oita University 2 Department of Cardiology, Hakuaikai Hospital

Case Report. Faculty of Medicine, Oita University 2 Department of Cardiology, Hakuaikai Hospital Case Report Manifestation of ST-Segment Elevation in Right Precordial Leads during schemia at a Right Ventricular Outflow Tract rea in a Patient with rugada Syndrome Naohiko Takahashi MD 1, Tetsuji Shinohara

More information

I have nothing to disclose.

I have nothing to disclose. I have nothing to disclose. ESC Congress, München, 2012 Pulmonary Circulation and the Right and Left Ventricles Left Ventricle in Pulmonary Hypertension Robert Naeije Erasme University Hospital Brussels,

More information

Feasibility of Leadless Cardiac Pacing Using Injectable. Magnetic Microparticles

Feasibility of Leadless Cardiac Pacing Using Injectable. Magnetic Microparticles Supplementary Information for Feasibility of Leadless Cardiac Pacing Using Injectable Magnetic Microparticles Menahem Y. Rotenberg, Hovav Gabay, Yoram Etzion and Smadar Cohen. Correspondence to: scohen@bgu.ac.il,

More information

Evaluation of Left Ventricular Diastolic Dysfunction by Doppler and 2D Speckle-tracking Imaging in Patients with Primary Pulmonary Hypertension

Evaluation of Left Ventricular Diastolic Dysfunction by Doppler and 2D Speckle-tracking Imaging in Patients with Primary Pulmonary Hypertension ESC Congress 2011.No 85975 Evaluation of Left Ventricular Diastolic Dysfunction by Doppler and 2D Speckle-tracking Imaging in Patients with Primary Pulmonary Hypertension Second Department of Internal

More information

Multi-modal fluorescence imaging of contracting intact hearts

Multi-modal fluorescence imaging of contracting intact hearts Multi-modal fluorescence imaging of contracting intact hearts ESR4: Vineesh Kappadan Project Supervisor: Prof.Ulrich Parlitz & Dr.Jan Christoph Biomedical Physics Group Max Planck Institute for Dynamics

More information

EKG Competency for Agency

EKG Competency for Agency EKG Competency for Agency Name: Date: Agency: 1. The upper chambers of the heart are known as the: a. Atria b. Ventricles c. Mitral Valve d. Aortic Valve 2. The lower chambers of the heart are known as

More information

Systems Biology Across Scales: A Personal View XXVII. Waves in Biology: Cardiac Arrhythmia. Sitabhra Sinha IMSc Chennai

Systems Biology Across Scales: A Personal View XXVII. Waves in Biology: Cardiac Arrhythmia. Sitabhra Sinha IMSc Chennai Systems Biology Across Scales: A Personal View XXVII. Waves in Biology: Cardiac Arrhythmia Sitabhra Sinha IMSc Chennai The functional importance of biological waves Spiral Waves Cardiac Arrhythmias Arrhythmias:

More information

When arrhythmias complicate heart failures

When arrhythmias complicate heart failures When arrhythmias complicate heart failures Throughout the years, heart failure complicates usually with anomalies of the cardiac rhythm. These anomalies can have an atrial, a ventricular or an atrioventricular

More information

Brugada syndrome is characterized by peculiar ST elevation

Brugada syndrome is characterized by peculiar ST elevation Mechanism of ST Elevation and Ventricular Arrhythmias in an Experimental Brugada Syndrome Model Masaomi Kimura, MD; Takao Kobayashi, MD; Shingen Owada, MD; Keiichi Ashikaga, MD; Takumi Higuma, MD; Shingo

More information

Understanding the underlying mechanisms of ventricular

Understanding the underlying mechanisms of ventricular Shock-Induced Figure-of-Eight Reentry in the Isolated Rabbit Heart Isabelle Banville, Richard A. Gray, Raymond E. Ideker, William M. Smith Abstract The patterns of transmembrane potential on the whole

More information

Ablative Therapy for Ventricular Tachycardia

Ablative Therapy for Ventricular Tachycardia Ablative Therapy for Ventricular Tachycardia Nitish Badhwar, MD, FACC, FHRS 2 nd Annual UC Davis Heart and Vascular Center Cardiovascular Nurse / Technologist Symposium May 5, 2012 Disclosures Research

More information

Assessing the Impact on the Right Ventricle

Assessing the Impact on the Right Ventricle Advances in Tricuspid Regurgitation Congress of the European Society of Cardiology (ESC) Munich, August 25-29, 2012 Assessing the Impact on the Right Ventricle Stephan Rosenkranz, MD Clinic III for Internal

More information

A MODEL OF GAP JUNCTION CONDUCTANCE AND VENTRICULAR TACHYARRHYTHMIA

A MODEL OF GAP JUNCTION CONDUCTANCE AND VENTRICULAR TACHYARRHYTHMIA A MODEL OF GAP JUNCTION CONDUCTANCE AND VENTRICULAR TACHYARRHYTHMIA X. D. Wu, Y. L. Shen, J. L. Bao, C. M. Cao, W. H. Xu, Q. Xia Department of Physiology, Zhejiang University School of Medicine, Hangzhou,

More information

Case 1 Left Atrial Tachycardia

Case 1 Left Atrial Tachycardia Case 1 Left Atrial Tachycardia A 16 years old woman was referred to our institution because of recurrent episodes of palpitations and dizziness despite previous ablation procedure( 13 years ago) of postero-septal

More information

Sodium-Calcium Exchange Initiated by the Ca 2 Transient An Arrhythmia Trigger Within Pulmonary Veins

Sodium-Calcium Exchange Initiated by the Ca 2 Transient An Arrhythmia Trigger Within Pulmonary Veins Journal of the American College of Cardiology Vol. 47, No. 6, 2006 2006 by the American College of Cardiology Foundation ISSN 0735-1097/06/$32.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2005.12.023

More information

Risk Factors for Sudden cardiac Death

Risk Factors for Sudden cardiac Death Risk Factors for Sudden cardiac Death A. Arenal Arrhythmias in competitive sports Disclosure Conflict of interest Advisory board: Medtronic, Boston Scientific Research grants: Medtronic, Boston Scientific,

More information

2. Methods. Transmural electrophysiology in the Scn5a þ/- mouse 725

2. Methods. Transmural electrophysiology in the Scn5a þ/- mouse 725 Cardiovascular Research (2018) 114, 724 736 doi:101093/cvr/cvx244 Normal interventricular differences in tissue architecture underlie right ventricular susceptibility to conduction abnormalities in a mouse

More information

Closing ASDs with pulmonary hypertension. Shakeel A Qureshi Evelina Children s Hospital London

Closing ASDs with pulmonary hypertension. Shakeel A Qureshi Evelina Children s Hospital London Closing ASDs with pulmonary hypertension Shakeel A Qureshi Evelina Children s Hospital London Ho Chi Minh, Vietnam, January 2012 ACC/AHA 2008 Guidelines ASD closure Closure is indicated for right atrial

More information

When to implant an ICD in systemic right ventricle?

When to implant an ICD in systemic right ventricle? When to implant an ICD in systemic right ventricle? Département de rythmologie et de stimulation cardiaque Nicolas Combes n.combes@clinique-pasteur.com Pôle de cardiologie pédiatrique et congénitale Risk

More information

ViewFlex Xtra ICE Catheter. Positioning Reference Manual

ViewFlex Xtra ICE Catheter. Positioning Reference Manual ViewFlex Xtra ICE Catheter Positioning Reference Manual ViewFlex Xtra ICE Catheter Index The ViewFlex Xtra ICE Catheter, which is compatible with the ViewMate Z and ViewMate II ultrasound consoles, provides

More information

Histamine Develops Homologous Desensitization under Ca 2+ -free Conditions with Increase in Basal Tone in Smooth Muscle of Guinea Pig Taenia Caeci

Histamine Develops Homologous Desensitization under Ca 2+ -free Conditions with Increase in Basal Tone in Smooth Muscle of Guinea Pig Taenia Caeci YAKUGAKU ZASSHI 130(3) 451 455 (2010) 2010 The Pharmaceutical Society of Japan 451 Notes Histamine Develops Homologous Desensitization under Ca 2+ -free Conditions with Increase in Basal Tone in Smooth

More information

The Journal of Physiology

The Journal of Physiology J Physiol 59.6 (6) pp 689 77 689 Increased susceptibility of spontaneously hypertensive rats to ventricular tachyarrhythmias in early hypertension Thao P. Nguyen,AliA.Sovari,3, Arash Pezhouman, Shankar

More information

ACTION POTENTIAL TRANSFER AT THE PURKINJE - VENTRICULAR JUNCTION: ROLE OF TRANSITIONAL CELLS

ACTION POTENTIAL TRANSFER AT THE PURKINJE - VENTRICULAR JUNCTION: ROLE OF TRANSITIONAL CELLS 1 of 4 ACTION POTENTIAL TRANSFER AT THE PURKINJE - VENTRICULAR JUNCTION: ROLE OF TRANSITIONAL CELLS Arie O. Verkerk 1, Marieke W. Veldkamp 2, Antoni C.G. van Ginneken 1,2, Ronald Wilders 1,3 1 Department

More information

PRESENTER DISCLOSURE INFORMATION. There are no potential conflicts of interest regarding current presentation

PRESENTER DISCLOSURE INFORMATION. There are no potential conflicts of interest regarding current presentation PRESENTER DISCLOSURE INFORMATION There are no potential conflicts of interest regarding current presentation Better synchrony and diastolic function for septal versus apical right ventricular permanent

More information

Pathophysiology: Left To Right Shunts

Pathophysiology: Left To Right Shunts Pathophysiology: Left To Right Shunts Daphne T. Hsu, MD dh17@columbia.edu Learning Objectives Learn the relationships between pressure, blood flow, and resistance Review the transition from fetal to mature

More information

Supplementary Online Content

Supplementary Online Content Supplementary Online Content Tseng ZH, Hayward RM, Clark NM, et al. Sudden death in patients with cardiac implantable electronic devices. JAMA Intern Med. Published online June 22, 2015. doi:10.1001/jamainternmed.2015.2641.

More information

A spontaneously active focus drives a model atrial sheet more easily than a model ventricular sheet

A spontaneously active focus drives a model atrial sheet more easily than a model ventricular sheet Am J Physiol Heart Circ Physiol 279: H752 H763, 2000. A spontaneously active focus drives a model atrial sheet more easily than a model ventricular sheet RONALD W. JOYNER, 1 YANG-GAN WANG, 1 RONALD WILDERS,

More information

Electrophysiological effects of haloperidol on isolated rabbit Purkinje fibers and guinea pigs papillary muscles under normal and simulated ischemia

Electrophysiological effects of haloperidol on isolated rabbit Purkinje fibers and guinea pigs papillary muscles under normal and simulated ischemia Acta Pharmacol Sin 2007 Aug; 28 (8): 1155 1160 Short communication Electrophysiological effects of haloperidol on isolated rabbit Purkinje fibers and guinea pigs papillary muscles under normal and simulated

More information

Positive QRS Complex in Lead I as a Malignant Sign in Right Ventricular Outflow Tract Tachycardia

Positive QRS Complex in Lead I as a Malignant Sign in Right Ventricular Outflow Tract Tachycardia Circulation Journal Official Journal of the Japanese Circulation Society http://www.j-circ.or.jp ORIGINAL ARTICLE Arrhythmia/Electrophysiology Positive QRS Complex in Lead I as a Malignant Sign in Right

More information

Cardiac Arrhythmia Mapping!

Cardiac Arrhythmia Mapping! Cardiac Arrhythmia Mapping! Challenges and Opportunities" Derek J. Dosdall, Ph.D. 22 October, 2010 OUTLINE!! Historical perspective! Current mapping techniques!optical mapping!electrical mapping (Purkinje

More information

Mission Statement for our Arrhythmia Care

Mission Statement for our Arrhythmia Care Mission Statement for our Arrhythmia Care We are dedicated to provide a compassionate and an outstanding care for patients with cardiac arrhythmias. We will be utilizing the cutting edge and the most advanced

More information

J Wave Syndromes. Osama Diab Lecturer of Cardiology Ain Shams University

J Wave Syndromes. Osama Diab Lecturer of Cardiology Ain Shams University J Wave Syndromes Osama Diab Lecturer of Cardiology Ain Shams University J Wave Syndromes Group of electric disorders characterized by > 1 mm elevation of the J point or prominent J wave with or without

More information

Normal Pericardial Physiology

Normal Pericardial Physiology Normal Pericardial Physiology Normal pericardium contains 20-30 ml of lymphoid fluid lubricating function that facilitates normal myocardial rotation and translation during each cardiac cycle in that the

More information

Pathophysiology: Left To Right Shunts

Pathophysiology: Left To Right Shunts Pathophysiology: Left To Right Shunts Daphne T. Hsu, MD dh17@columbia.edu Learning Objectives Learn the relationships between pressure, blood flow, and resistance Review the transition from fetal to mature

More information

2. Langendorff Heart

2. Langendorff Heart 2. Langendorff Heart 2.1. Principle Langendorff heart is one type of isolated perfused heart which is widely used for biochemical, physiological, morphological and pharmacological researches. It provides

More information

Cardiac Properties MCQ

Cardiac Properties MCQ Cardiac Properties MCQ Abdel Moniem Ibrahim Ahmed, MD Professor of Cardiovascular Physiology Cairo University 2007 1- Cardiac Valves: a- Prevent backflow of blood from the ventricles to the atria during

More information

Tachycardia-induced heart failure - Does it exist?

Tachycardia-induced heart failure - Does it exist? Tachycardia-induced heart failure - Does it exist? PD Dr Etienne Delacrétaz Clinique Cecil et Hôpital de Fribourg SSC Cardiology meeting 2015 Zürich Rapid atrial fibrillation is a common cause of heart

More information

Prevention of Sudden Death in ARVC

Prevention of Sudden Death in ARVC ESC Munich, August 29, 2012 Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC): Prevention of Sudden Death in ARVC Thomas Wichter, MD, FESC Professor of Medicine - Cardiology Marienhospital Osnabrück

More information

Selected age-associated changes in the cardiovascular system

Selected age-associated changes in the cardiovascular system Selected age-associated changes in the cardiovascular system Tamara Harris, M.D., M.S. Chief, Interdisciplinary Studies of Aging Acting Co-Chief, Laboratory of Epidemiology and Population Sciences Intramural

More information

PERMANENT PACEMAKERS AND IMPLANTABLE DEFIBRILLATORS Considerations for intensivists

PERMANENT PACEMAKERS AND IMPLANTABLE DEFIBRILLATORS Considerations for intensivists PERMANENT PACEMAKERS AND IMPLANTABLE DEFIBRILLATORS Considerations for intensivists Craig A. McPherson, MD, FACC Associate Professor of Medicine Constantine Manthous, MD, FACP, FCCP Associate Clinical

More information

Role of Implantable Loop Recorder in the Evaluation of Syncope

Role of Implantable Loop Recorder in the Evaluation of Syncope Role of Implantable Loop Recorder in the Evaluation of Syncope June Soo Kim, M.D., Ph.D. Department of Medicine Cardiac & Vascular Center Sungkyunkwan University School of Medicine Definition & Mechanism

More information

Echocardiography for the Electrophysiologist: Day-to-day practice. Emmanuel Fares, MD

Echocardiography for the Electrophysiologist: Day-to-day practice. Emmanuel Fares, MD Echocardiography for the Electrophysiologist: Day-to-day practice Emmanuel Fares, MD EP and pacing service, Department of Cardiovascular Medicine, Cairo University Agenda Role of echo in arrhythmia management:

More information

Where are the normal pacemaker and the backup pacemakers of the heart located?

Where are the normal pacemaker and the backup pacemakers of the heart located? CASE 9 A 68-year-old woman presents to the emergency center with shortness of breath, light-headedness, and chest pain described as being like an elephant sitting on her chest. She is diagnosed with a

More information

Mapping and Ablation of Challenging Outflow Tract VTs: Pulmonary Artery, LVOT, Epicardial

Mapping and Ablation of Challenging Outflow Tract VTs: Pulmonary Artery, LVOT, Epicardial Mapping and Ablation of Challenging Outflow Tract VTs: Pulmonary Artery, LVOT, Epicardial Samuel J. Asirvatham, MD Mayo Clinic Rochester California Heart Rhythm Symposium San Francisco, CA September 8,

More information

Left atrial function. Aliakbar Arvandi MD

Left atrial function. Aliakbar Arvandi MD In the clinic Left atrial function Abstract The left atrium (LA) is a left posterior cardiac chamber which is located adjacent to the esophagus. It is separated from the right atrium by the inter-atrial

More information

In Whom and When Should Atrial Fibrillation Ablation be Considered?

In Whom and When Should Atrial Fibrillation Ablation be Considered? In Whom and When Should Atrial Fibrillation Ablation be Considered? Christian de Chillou, MD, PhD Department of Cardiology University Hospital Nancy, France ESC 2010 Stockholm, August 30. 2010 2 In Whom?

More information

Congenital Heart Defects

Congenital Heart Defects Normal Heart Congenital Heart Defects 1. Patent Ductus Arteriosus The ductus arteriosus connects the main pulmonary artery to the aorta. In utero, it allows the blood leaving the right ventricle to bypass

More information

State of the Art: Brugada Syndrome Novel diagnostic approaches and risk stratification

State of the Art: Brugada Syndrome Novel diagnostic approaches and risk stratification State of the Art: Brugada Syndrome Novel diagnostic approaches and risk stratification Lars Eckardt Division Electrophysiology Department of Cardiovascular Medicine University of Münster, Germany I have

More information

Mechanisms Underlying Conduction Slowing and Arrhythmogenesis in Nonischemic Dilated Cardiomyopathy

Mechanisms Underlying Conduction Slowing and Arrhythmogenesis in Nonischemic Dilated Cardiomyopathy Mechanisms Underlying Conduction Slowing and Arrhythmogenesis in Nonischemic Dilated Cardiomyopathy Fadi G. Akar, David D. Spragg, Richard S. Tunin, David A. Kass, Gordon F. Tomaselli Downloaded from http://circres.ahajournals.org/

More information

Diseases. Cardiovascular System

Diseases. Cardiovascular System Diseases Cardiovascular System Angina Pectoris A condition marked by severe pain in the chest, often spreading to the shoulder or neck. Caused by inadequate blood supply to the heart. Cardiomyopathy Refers

More information

Atrial fibrillation (AF) is the most common sustained

Atrial fibrillation (AF) is the most common sustained Effects of Atrial Defibrillation Shocks on the Ventricles in Isolated Sheep Hearts Richard A. Gray, PhD; Jose Jalife, MD Background The effects of cardioversion of atrial fibrillation on the activation

More information

Rational Approach to Improving Cardiac Arrhythmia Therapy. Rational Approach to Improving Cardiac Arrhythmia Therapy

Rational Approach to Improving Cardiac Arrhythmia Therapy. Rational Approach to Improving Cardiac Arrhythmia Therapy Rational Approach to Improving Cardiac Arrhythmia Therapy Rational Approach to Improving Cardiac Arrhythmia Therapy Stanley Nattel, MD Stanley Nattel, MD DEDICATED TO THE MASTER OF RATIONAL THERAPEUTICS

More information

UNDERSTANDING YOUR ECG: A REVIEW

UNDERSTANDING YOUR ECG: A REVIEW UNDERSTANDING YOUR ECG: A REVIEW Health professionals use the electrocardiograph (ECG) rhythm strip to systematically analyse the cardiac rhythm. Before the systematic process of ECG analysis is described

More information

Ruolo della ablazione della fibrillazione atriale nello scompenso cardiaco

Ruolo della ablazione della fibrillazione atriale nello scompenso cardiaco Ruolo della ablazione della fibrillazione atriale nello scompenso cardiaco Matteo Anselmino Division of Cardiology Città della Salute e della Scienza Hospital University of Turin, Italy Disclosure: Honoraria

More information

Index of subjects. effect on ventricular tachycardia 30 treatment with 101, 116 boosterpump 80 Brockenbrough phenomenon 55, 125

Index of subjects. effect on ventricular tachycardia 30 treatment with 101, 116 boosterpump 80 Brockenbrough phenomenon 55, 125 145 Index of subjects A accessory pathways 3 amiodarone 4, 5, 6, 23, 30, 97, 102 angina pectoris 4, 24, 1l0, 137, 139, 140 angulation, of cavity 73, 74 aorta aortic flow velocity 2 aortic insufficiency

More information

Adult Echocardiography Examination Content Outline

Adult Echocardiography Examination Content Outline Adult Echocardiography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 2 3 4 5 Anatomy and Physiology Pathology Clinical Care and Safety Measurement Techniques, Maneuvers,

More information

Medicine. Dynamic Changes of QRS Morphology of Premature Ventricular Contractions During Ablation in the Right Ventricular Outflow Tract

Medicine. Dynamic Changes of QRS Morphology of Premature Ventricular Contractions During Ablation in the Right Ventricular Outflow Tract Medicine CLINICAL CASE REPORT Dynamic Changes of QRS Morphology of Premature Ventricular Contractions During Ablation in the Right Ventricular Outflow Tract A Case Report Li Yue-Chun, MD, Lin Jia-Feng,

More information

Ventricular Assist Devices and Emergency Services

Ventricular Assist Devices and Emergency Services Ventricular Assist Devices and Emergency Services Margaret Murray, DNP, FAHA Clinical Nurse Specialist- Cardiac Surgery, Cardiac Transplant and Ventricular Assist Devices ma.murray@hosp.wisc.edu Janean

More information

Microelectrode Study of Alternating Responses to Repetitive Premature Excitation in Canine Purkinje Fibers

Microelectrode Study of Alternating Responses to Repetitive Premature Excitation in Canine Purkinje Fibers Microelectrode Study of Alternating Responses to Repetitive Premature Excitation in Canine Purkinje Fibers By Jack P. Bandura and Daniel A. Brody ABSTRACT Microelectrode studies were performed to produce

More information

UltraRapid Communication

UltraRapid Communication UltraRapid Communication Sex, Age, and Regional Differences in L-Type Calcium Current Are Important Determinants of Arrhythmia Phenotype in Rabbit Hearts With Drug-Induced Long QT Type 2 Carl Sims, Steven

More information

High resolution structural evidence suggests the Sarcoplasmic Reticulum forms microdomains with Acidic Stores (lyososomes) in the heart.

High resolution structural evidence suggests the Sarcoplasmic Reticulum forms microdomains with Acidic Stores (lyososomes) in the heart. High resolution structural evidence suggests the Sarcoplasmic Reticulum forms microdomains with Acidic Stores (lyososomes) in the heart. Daniel Aston, Rebecca A. Capel, Kerrie L. Ford, Helen C. Christian,

More information

AF ABLATION Concepts and Techniques

AF ABLATION Concepts and Techniques AF ABLATION Concepts and Techniques Antony F Chu, M.D. Director of Complex Ablation Arrhythmia Services Section Division of Cardiology at the Rhode Island and Miriam Hospital HIGHLIGHTS The main indications

More information

ICD: Basics, Programming and Trouble-shooting

ICD: Basics, Programming and Trouble-shooting ICD: Basics, Programming and Trouble-shooting Amir AbdelWahab, MD Electrophysiology and Pacing Service Cardiology Department Cairo University Feb 2013 Evolution of ICD Technology ICD Evolution Indications

More information

Outline. Electrical Activity of the Human Heart. What is the Heart? The Heart as a Pump. Anatomy of the Heart. The Hard Work

Outline. Electrical Activity of the Human Heart. What is the Heart? The Heart as a Pump. Anatomy of the Heart. The Hard Work Electrical Activity of the Human Heart Oguz Poroy, PhD Assistant Professor Department of Biomedical Engineering The University of Iowa Outline Basic Facts about the Heart Heart Chambers and Heart s The

More information

UNIVERSITY OF CALGARY. Ischemia-Reperfusion Arrhythmias and Intercellular Coupling in Diabetic and Ischemic- Preconditioned Rat Heart.

UNIVERSITY OF CALGARY. Ischemia-Reperfusion Arrhythmias and Intercellular Coupling in Diabetic and Ischemic- Preconditioned Rat Heart. UNIVERSITY OF CALGARY Ischemia-Reperfusion Arrhythmias and Intercellular Coupling in Diabetic and Ischemic- Preconditioned Rat Heart by Alyssa Randall A THESIS SUBMITTED TO THE FACULTY OF GRADUATE STUDIES

More information

Effect of transcatheter aortic valve replacement on P-wave duration, P-wave dispersion and left atrial size

Effect of transcatheter aortic valve replacement on P-wave duration, P-wave dispersion and left atrial size Journal of Geriatric Cardiology (2015) 12: 613 617 2015 JGC All rights reserved; www.jgc301.com Research Article Open Access Effect of transcatheter aortic valve replacement on P-wave duration, P-wave

More information

Interventional solutions for atrial fibrillation in patients with heart failure

Interventional solutions for atrial fibrillation in patients with heart failure Interventional solutions for atrial fibrillation in patients with heart failure Advances in Cardiovascular Arrhythmias Great Innovations in Cardiology Matteo Anselmino, MD PhD Division of Cardiology Department

More information

Circulatory system of mammals

Circulatory system of mammals Circulatory system of mammals Explain the cardiac cycle and its initiation Discuss the internal factors that control heart action Blood flows through the heart as a result of pressure differences Blood

More information

Successes and Evolving Challenges Posed by the Comprehensive In Vitro Proarrhythmia (CiPA) Initiative

Successes and Evolving Challenges Posed by the Comprehensive In Vitro Proarrhythmia (CiPA) Initiative Successes and Evolving Challenges Posed by the Comprehensive In Vitro Proarrhythmia (CiPA) Initiative Gary Gintant Dept. Integrative Pharmacology Integrated Sciences and Technology AbbVie For the CiPA

More information

Treatment of VT of Purkinje fiber origin: ablation targets and outcome

Treatment of VT of Purkinje fiber origin: ablation targets and outcome Treatment of VT of Purkinje fiber origin: ablation targets and outcome Ch. Piorkowski University Leipzig - Heart Center - Dept. of Electrophysiology Leipzig, Germany Presenter Disclosure Information Gerhard

More information

Recurrent refractory ventricular tachycardia in a patient with LVAD

Recurrent refractory ventricular tachycardia in a patient with LVAD Monster Cases Recurrent refractory ventricular tachycardia in a patient with LVAD Maurizio Lunati MD Director SC Cardiologia 3 Elettrofisiologia Chairman De Gasperis Cardio Center Department ASST G.O.M.

More information

Advances in Ablation Therapy for Ventricular Tachycardia

Advances in Ablation Therapy for Ventricular Tachycardia Advances in Ablation Therapy for Ventricular Tachycardia Nitish Badhwar, MD, FACC, FHRS Director, Cardiac Electrophysiology Training Program University of California, San Francisco For those of you who

More information

BIPN100 F15 Human Physiology I (Kristan) Problem set #5 p. 1

BIPN100 F15 Human Physiology I (Kristan) Problem set #5 p. 1 BIPN100 F15 Human Physiology I (Kristan) Problem set #5 p. 1 1. Dantrolene has the same effect on smooth muscles as it has on skeletal muscle: it relaxes them by blocking the release of Ca ++ from the

More information

EKG CHANGES IN PULMONARY DISEASE

EKG CHANGES IN PULMONARY DISEASE EKG CHANGES IN PULMONARY DISEASE Derrick Sorweide, DO FACOFP Assistant Professor- COMP-NW Director- Cardiovascular Course Major- United States Army Reserve What: 1. Review and reinforce what you already

More information