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Electrophysiology Related to Cardiac Pacing Techniques

  • Berndt Lüderitz
Chapter
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 3)

Abstract

Bradycardias originate either from a dysfunction of impulse formation in the sinoatrial node or from a disturbed conduction of the impulse. A decrease in the rate of the sinoatrial node automaticity may be caused by an increased duration of the action potential, an increase in the maximum diastolic potential (i.e. hyperpolarization which delays depolarization to the threshold potential) or a reduced rate of rise of diastolic depolarization. Conversely, changes of these variables in the opposite direction increase the trigger rate of the intrinsic cardiac pacemaker.

Keywords

Ventricular Tachycardia Sinus Node Supraventricular Tachycardia Cardiac Pace Circus Movement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Mines GR:On circulating excitations in heart muscles and their possible relation to tachycardia and fibrillation.Trans Roy Soc Can 3 (4. 8):43, 1914.Google Scholar
  2. 2.
    Aronson RS, Cranefield PF:The effect of resting potential on the electrical activity of canine cardiac Purkinje fibers exposed to Na-free solution or to ouabain.Pflügers Arch 347:101, 1974.PubMedCrossRefGoogle Scholar
  3. 3.
    Dominguez G, Fozzard HA:Influence of extracellular K+- concentration on cable properties and excitability of sheep cardiac Purkinje fibers.Circ Res 26:565, 1970.PubMedGoogle Scholar
  4. 4.
    Weidmann S:Effects of calcium ions and local anesthetics on electrical properties of Purkinje fibres.J Physiol 129:568, 1955.PubMedGoogle Scholar
  5. 5.
    Hoffman BF, Suckling EE:Effect of several cations on transmembrane potentials of cardiac muscle. Am J Physiol 186:317, 1956.PubMedGoogle Scholar
  6. 6.
    Wit AL, Cranefield PF:Triggered activity in cardiac muscle fibres of the simian mitral valve.Circ Res 38:85, 1976.PubMedGoogle Scholar
  7. 7.
    Cranefield PF, Aronson RS:Initiation of sustained rhythmic activity by single propagated action potentials in canine cardiac Purkinje fibres exposed to sodium-free solution of ouabain.Circ Res 34:477, 1974.PubMedGoogle Scholar
  8. 8.
    Wellens HJJ:Electrical stimulation of the heart in the study and treatment of tachycardias, Leiden, Stenfert Kroese, 1971.Google Scholar
  9. 9.
    Wellens HJJ, Schuilenburg RM, Durrer D:Electrical stimulation in patients with ventricular tachycardia.Circulation 46:216, 1972.PubMedGoogle Scholar
  10. 10.
    Lüderitz B, Steinbeck G:The pacemaker for managing tachy-arrhythmias.Comprehensive Ther 3:46, 1977.Google Scholar
  11. 11.
    Naumann d’Alnoncourt C, Lüderitz B:Therapie tachykarder Rhythmusstorungen mit implan- tierten Schrittmachern. Dtsch med Wschr 1979 (in press).Google Scholar
  12. 12.
    Narula OS:Sinus node reentry:a mechnism for supraventricular tachycardia.Circulation 50:1974.Google Scholar
  13. 13.
    Allessie MA, Bonke FIM:Is sustained circus movement into the sinus node possible? In:The sinus node:structure function and clinical relevance, Bonke FIM (ed), The Hague, Martinus Nijhoff, 1978.Google Scholar
  14. 14.
    Han J, Malozzi AM, Moe GK:Sino-atrial reciprocation in the isolated rabbit heart.Circ Res 22:355, 1968.PubMedGoogle Scholar
  15. 15.
    Lewis T, Feil HS, Stroud WD:Observations upon flutter and fibrillation:nature of auricularflutter. Heart 7:191, 1920.Google Scholar
  16. 16.
    Allessie MA, Bonke FIM, Schopman FJG:Circus movement in rabit atrial muscle as a mecha-nism of tachycardia.Circ Res 33; 54, 1973.PubMedGoogle Scholar
  17. 17.
    Allessie MA, Bonke FIM, Schopman FJG:Circus movement in rabbit atrial muscle as a mechnism of tachycardia III:‘the leading circle’ concept:a new model of circus movement in cardiac tissue without the involvement of an anatomical obstacle.Circ Res 41:9, 1977.PubMedGoogle Scholar
  18. 18.
    Moe GK, Preston JB, Burlinton H:Physiologic evidence for a dual AV transmission system.Circ Res 4:357, 1956.PubMedGoogle Scholar
  19. 19.
    Mendez C, Mueller WJ, Meredith J, Moe GK:Interaction of transmembrane potentials in canine Purkinje fibers and ofPurkinje-fiber muscle junctions.Circ Res 24:361, 1969.PubMedGoogle Scholar
  20. 20.
    Sasyniuk BI, Mendez C:A mechanism for re-entry in canine ventricular tissue.Circ Res 28:3, 1971.PubMedGoogle Scholar
  21. 21.
    Cranefield PF, Klein HO, Hoffman BF:Conduction of the cardiac impulse I:delay, block, and one-way block in depressed Purkinje fibers.Circ Res 28:199, 1971.PubMedGoogle Scholar
  22. 22.
    Wit AL, Cranefield PF, Hoffman BF:Slow conduction and re-entry in the ventricular conduction system II:single and sustained circus movement in networks of canine and bovine Purkinje fibers.Circ Res 30:11, 1972.PubMedGoogle Scholar
  23. 23.
    Narula OS, Samet P, Javier RP:Significance of the sinus node recovery time.Circulation 45:140, 1972.PubMedGoogle Scholar
  24. 24.
    Mandel WJ, Hayakwa H, Allen HN, Danzig R, Kermaier AI:Assessment of sinus node function in patients with the sick sinus syndrome.Circulation 46:76, 1972.Google Scholar
  25. 25.
    Strauss HC, Saroff AL, Bigger JT, Giardina EGV:Premature atrial stimulation as a key to the understanding of sinoatrial conduction in man.Circulation 47:88, 1973.Google Scholar
  26. 26.
    Steinbeck G, Lüderitz B:Comparative study of sinoatrial conduction time and sinus node recovery time.Br Heart J 37:956, 1975.PubMedCrossRefGoogle Scholar
  27. 27.
    Miller HC, Strauss HC:Measurement of sinoatrial conduction time by premature atrial stimu-lation in the rabbit.Circ Res 35:935, 1974.PubMedGoogle Scholar
  28. 28.
    Seipel L, Breihardt G, Both A, Loogen F:Diagnostische Probleme beim Sinusknoten-Syndrom ZKardiol 64:1, 1975.Google Scholar
  29. 29.
    Steinbeck G, Luderitz B:Sinus node recovery time and sinoatrial conduction time. In:Cardiac pacing:diagnostic and therapeutic tools. Lüderitz B (ed), Berlin, Springer, 1976.Google Scholar
  30. 30.
    Lüderitz B, Steinbeck G, Naumann d’Alnoncourt C, Rosenberger W:Relevance of diagnostic atrial stimulation for pacemaker treatment in sinoatrial disease. In:The sinus node; structure, function and clinical relevance. Bonke FIM (ed), The Hague, Martinus Nijhoff, 1978.Google Scholar
  31. 31.
    Scherlag BJ, SametP, Helfant H:His-bundle electrogram. Circulation 46:601, 1972.Google Scholar
  32. 32.
    Steinbeck G, Lüderitz B:Sinoatrial pacemaker shift following atrial stimulation in man.Circulation 56 (3):402, 1977.PubMedGoogle Scholar
  33. 33.
    Breithardt G, Seipel L, Loogen F:Sinus node recovery time and calculated sinoatrial conduction time in normal subjects and patients with sinus node dysfunction.Circulation 56:43, 1977.PubMedGoogle Scholar
  34. 34.
    Delius W, Wirtzfeld A:The significance of the sinus node recovery time in the sick sinus syndrome. In:Cardiac pacing:diagnostic and therapeutic tools. Luderitz B (ed), Berlin, Springer, 1976.Google Scholar
  35. 35.
    Kulbertus HE, de Leval-Rutten F, Mary L, Casters P:Sinus node recovery time in the elderly.Br Heart J 37:420, 1975.PubMedCrossRefGoogle Scholar
  36. 36.
    Mandel WJ, Hayakawa H, Danzig R, Marcus HS:Evaluation of sinoatrial node function in man by overdrive suppression.Circulation 44:59, 1971.PubMedGoogle Scholar
  37. 37.
    Rostock KJ, van Knorre GH:Zur Analyse der nomotopen Reizbildung des menschlichen Herzens.Dtsch Gesundh Wes 31:304, 1976.Google Scholar
  38. 38.
    Steinbeck G, Lüderitz B:Sinuatriale Funktionsstörungen. In:Elektrische Stimulation des Herzens, Lüderitz B (ed), Berlin, Springer 1979.Google Scholar
  39. 39.
    Crook B, Kitson D, McComish M, Jewitt D:Indirect measurement of sinoatrial conduction time in patients with sinoatrial disease and in controlsBr Heart J 39:771, 1977.PubMedCrossRefGoogle Scholar
  40. 40.
    Dhingra RC, Wyndham C, Amat-y-Leon F, Denes P, Wu D, Rosen KM:Sinus nodal responses to atrial extrastimuli in patients without apparent sinus node disease.Am J Cardiol 36:445, 1975.PubMedCrossRefGoogle Scholar
  41. 41.
    Masini G, Dianda R, Graziina A:Analysis of sinoatrial conduction in man using premature atrial stimulation.Cardiovasc Res 9:498, 1975.PubMedCrossRefGoogle Scholar
  42. 42.
    Strauss HC, Bigger JT, Saroff AL, Giardina FGV:Electrophysiologic evaluation of sinus node function in patients with sinus node dysfunction.Circulation 53:763, 1976.PubMedGoogle Scholar
  43. 43.
    Sano T, Yamagishi S:Spread of excitation from the sinus node.Circ Res 16:423, 1965.PubMedGoogle Scholar
  44. 44.
    Giraud G, Puech P, Latour H, Hertault I:Variations de potentiel liées à l’activité du systeme auriculoventriculaire chez l’homme (enregistrement electrocardiographique endocavitaire).Arch Mai Coeur 53:757, 1960.Google Scholar
  45. 45.
    Neuss H, Schaumann H-J, Stegaru B:Drug effects on AV-conduction. In:Cardiac pacing:diagnostic and therapeutic tools, Lüderitz B (ed), Berlin, Springer, 1976.Google Scholar
  46. 46.
    Narula OS:Evaluation of the conduction system of the heart by His-bundle recordings. In:To pace or not to pace, Thalen HJTh, Harthorne JW (ed), The Hague, Martinus Nijhoff, 1978.Google Scholar
  47. 47.
    Seipel L:Atrioventrikuläre und intraventrikuläre Leitungsstörungen. In:Elektrische Stimulation des Herzens, Lüderitz B (ed), Berlin, Springer, 1979.Google Scholar
  48. 48.
    Funke H:Die optimierte sequentielle Stimulation von Vorhof und Kammer:ein neuartiges Therapiekonzept zur Behandlung bradykarder Dysrhythmien.Herz/Kreisl 10:479, 1978.Google Scholar
  49. 49.
    Naumann d’Alnoncourt C, Lüderitz B:Grundlagen der Elektrostimulation. In:Elektrische Stimulation des Herzens, Lüderitz B (ed), Berlin, Springer, 1979.Google Scholar
  50. 50.
    Lüderitz B (ed):Elektrische Stimulation des Herzens, Berlin, Springer,, 1979.Google Scholar
  51. 51.
    Lown B, Amarasingham R, Neumann J:New method for terminating cardiac arrhythmias:use of synchronized capacitor discharge.J Am Med Ass 182:548, 1962.Google Scholar
  52. 52.
    Lown B, Perlroth MG, Kaidberg S, Abe T, Harken DE:‘Cardioversion’ of atrial fibrillation:a report of the treatment of 65 episodes in 50 patients. NewEngl J Med 269:325, 1963.CrossRefGoogle Scholar
  53. 53.
    Antoni H:Physiologische Grundlagen der Elektrostimulation und der Elektrokonversion des Herzens.Intensivmedizin 9:166, 1972.Google Scholar
  54. 54.
    Barold SS, Linhart JW:Recent advances in the treatment of ectopic tachycardias by electrical pacing.Am J Cardiol 25:698 1970.PubMedCrossRefGoogle Scholar
  55. 55.
    Cranefield PF, Aronson RS:Initiation of sustained rhythmic activity by single propagated action potentials in canine cardiac Purkinje fibres exposed to sodium-free solution or ouabainCirc Res 34:477, 1974.PubMedGoogle Scholar
  56. 56.
    Massumi RA, Kistin AD, Tawakkol AA:Termination of reciprocating tachycardia by atrial stimulation.Circulation 36:637, 1967.PubMedGoogle Scholar
  57. 57.
    Barold, SS:Therapeutic use of cardiac pacing in tachyarrhythmias. In:Hisbundle electro-cardiography and clinical electrophysiology, Narula OS (ed), Philadelphia, Davis, 1975, p 407.Google Scholar
  58. 58.
    Kahn AR, Citron P:Patient initiated rapid atrial pacing to manage supraventricular tachycardia. In:Cardiac pacing:diagnostic and therapeutic tools, Lüderitz B (ed), Berlin, Springer, 1976.Google Scholar
  59. 59.
    Montoyo JV, Angel J, Valle V, Gausi C:Cardioversion of tachycardias by transesophageal atrial pacing.Am J Cardiol 32:85, 1973.PubMedCrossRefGoogle Scholar
  60. 60.
    Furman S, Fisher J, Mehra R:Ectopic ventricular tachycardia treated with bursts of ventricular pacing at 300 per minute. In:Cardiac pacing, Watanebe Y (ed), Amsterdam, Excerpta Medica, 1977.Google Scholar
  61. 61.
    Sowton E, Leatham A, Carson P:The suppression of arrhythmia by artificial pacing.Lancet 1098 (2), 1964.Google Scholar
  62. 62.
    Ryan GF, Easley RM, Zaroff LI, Goldstein S:Paradoxical use of a demand pacemaker in the treatment of supraventricular tachycardia due to the Wolff-Parkison-White syndrome:obser-vation of termination of reciprocal rhythm.Circulation 38:1037, 1968.PubMedGoogle Scholar
  63. 63.
    Krikler DM, Curry P, Buffet J:Dual-demand pacing for reciprocating atrioventricular tachycardia.Br Med J 1:1114, 1976.PubMedCrossRefGoogle Scholar
  64. 64.
    Spurrell RAJ:Future aspects of cardiac pacing. In:Cardiac pacing:diagnostic and therapeutic tools, Lüderitz B (ed), Berlin, Springer, 1976.Google Scholar
  65. 65.
    Coumel P:Management of paroxysmal tachycardia. In:Symposium on cardiac arrhythmias. Sandoe E, Flensted-Jensen E, Olesen KH (eds), Melsingör, AB Astra, 1970, p 783.Google Scholar
  66. 66.
    Guize L, Zacouto F, Lenègre J:Un nouveau stimulateur du coeur:Le pacemaker orthoryth- mique.Presse Méd 79:2071, 1971.PubMedGoogle Scholar
  67. 67.
    Zacouto F, Guize L:Fundamentals of orthorythmic pacing. In:Cardiac pacing:diagnostic and therapeutic tools, Lüderitz B (ed), Berlin, Springer, 1976.Google Scholar
  68. 68.
    Lüderitz B, Steinbeck G, Zacouto F:Significant reduction of recurrent tachycardias by programmed rate-related premature Stimulation. In:Cardiac pacing, Watanabe Y (ed), Amsterdam, Excerpta Medica, 1977.Google Scholar
  69. 69.
    Lüderitz B (ed):Cardiac pacing:diagnostic and therapeutic tools, Berlin, Springer, 1976.Google Scholar
  70. 70.
    Benchimol A, McNally EM:Atrial pacing during selective coronary angiography.Br Heart J 29:767, 1967.PubMedCrossRefGoogle Scholar
  71. 71.
    Kaufmann R, Theophile K:Automatiefördernde Dehnungseffekte an Purkinje-Fäden, Papil- larmuskeln und Yorhoftrabekeln von Rhesus-Affen.Pflügers Arch 297:174, 1967.CrossRefGoogle Scholar
  72. 72.
    Lüderitz B:Programmed electrostimulation. In:The first 24 hours in myocardial infarction, Kaindl F, Pachinger O, Probst P (eds), Baden-Baden, Witzstrock, 1977.Google Scholar
  73. 73.
    Lüderitz B, Steinbeck G, Guize L, Zacouto F:Schrittmachertherapie tachykarder Rhythmus- störungen durch frequenzbezogene Intervallstimulation.Dtsch med Wschr 14:730, 1975.CrossRefGoogle Scholar
  74. 74.
    Wellens HJJ:Cardiac pacing in the study and treatment of arrhythmias, tachycardias. In:Cardiac pacing:proceedings of the fourth international symposium, Thalen HJTh (ed), Van Gorcum, Assen, 1973.Google Scholar

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© Martinus Nijhoff Publishers bv, The Hague 1979

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  • Berndt Lüderitz

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