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一匹小马驹中由起搏诱发的持续性心房颤动。

Pacing induced sustained atrial fibrillation in a pony.

作者信息

van Loon G, Tavernier R, Duytschaever M, Fonteyne W, Deprez P, Jordaens L

机构信息

Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, University of Ghent, Merelbeke, Belgium.

出版信息

Can J Vet Res. 2000 Oct;64(4):254-8.

PMID:11041507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1189629/
Abstract

A transvenous, screw-in electrode was implanted in the right atrium of a healthy pony and connected with an implantable pulse generator programmed to deliver bursts of electrical stimuli to the atrium. Initially, cessation of burst pacing resulted in short (less than 1 minute), self-terminating episodes of atrial fibrillation. As burst pacing continued, the episodes of induced atrial fibrillation became longer. After 3 weeks of continuous atrial pacing, atrial fibrillation became sustained (56 hours). This model of pacing induced atrial fibrillation can be used to study the mechanisms leading to atrial fibrillation, its perpetuation and therapy. Our preliminary observations support the concept that once atrial fibrillation starts, it sets up changes in the electrical characteristics of the atrium that favor its own perpetuation.

摘要

将一根经静脉拧入式电极植入一匹健康小马的右心房,并与一个可植入式脉冲发生器相连,该脉冲发生器被设定为向心房输送电刺激脉冲串。最初,停止脉冲串起搏会导致短暂(少于1分钟)、自行终止的房颤发作。随着脉冲串起搏的持续,诱发的房颤发作时间变长。持续心房起搏3周后,房颤持续发作(56小时)。这种起搏诱发房颤的模型可用于研究导致房颤、其持续存在及治疗的机制。我们的初步观察结果支持这样一种概念,即一旦房颤开始,它会引起心房电特性的改变,从而有利于其自身的持续存在。

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本文引用的文献

1
Susceptibility to atrial fibrillation: a study in an ovine model of pacing-induced early heart failure.心房颤动易感性:起搏诱导的早期心力衰竭绵羊模型的研究
J Cardiovasc Electrophysiol. 1998 Apr;9(4):423-35. doi: 10.1111/j.1540-8167.1998.tb00930.x.
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Transvenous single lead atrial defibrillation: efficacy and risk of ventricular fibrillation in an ischemic canine model.经静脉单导联心房除颤:缺血性犬模型中的疗效及心室颤动风险
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Pacing-induced chronic atrial fibrillation impairs sinus node function in dogs. Electrophysiological remodeling.起搏诱导的慢性心房颤动损害犬的窦房结功能。电生理重塑。
Circulation. 1996 Dec 1;94(11):2953-60. doi: 10.1161/01.cir.94.11.2953.
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Internal cardioversion of atrial fibrillation in sheep.绵羊心房颤动的体内心脏复律
Circulation. 1993 May;87(5):1673-86. doi: 10.1161/01.cir.87.5.1673.
6
Low-energy transvenous cardioversion defibrillation of atrial tachyarrhythmias in the canine: an assessment of electrode configurations and monophasic pulse sequencing.犬心房快速性心律失常的低能量经静脉心脏复律除颤:电极配置和单相脉冲序列的评估
Am Heart J. 1994 Apr;127(4 Pt 2):994-1003. doi: 10.1016/0002-8703(94)90078-7.
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[Mechanisms favoring and triggering atrial fibrillation].[有利于引发心房颤动的机制]
Arch Mal Coeur Vaiss. 1994 Jan;87(1 Spec No):19-25.
8
Chronic rapid atrial pacing. Structural, functional, and electrophysiological characteristics of a new model of sustained atrial fibrillation.慢性快速心房起搏。持续性心房颤动新模型的结构、功能及电生理特征。
Circulation. 1995 Mar 1;91(5):1588-95. doi: 10.1161/01.cir.91.5.1588.
9
Atrial fibrillation begets atrial fibrillation. A study in awake chronically instrumented goats.房颤引发房颤。一项对长期植入仪器的清醒山羊的研究。
Circulation. 1995 Oct 1;92(7):1954-68. doi: 10.1161/01.cir.92.7.1954.
10
Atrial pressure and experimental atrial fibrillation.心房压力与实验性心房颤动
Pacing Clin Electrophysiol. 1995 Sep;18(9 Pt 1):1679-85. doi: 10.1111/j.1540-8159.1995.tb06989.x.