Evidence map›Paper›PMID 19467507›Full record

ArticleHeart rhythm2009

Transmural optical measurements of Vm dynamics during long-duration ventricular fibrillation in canine hearts.

Wei Kong, Raymond E Ideker, Vladimir G Fast

Open access · greenAbstract read
In one paragraph

Article in Heart rhythm, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Mechanism of reentry induction by a 9-V battery in rabbit ventricles.American journal of physiology. Heart and circulatory physiology · 2014
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Wei KongDepartment of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.
Raymond E Ideker
Vladimir G Fast
University of Alabama at Birmingham · US

Funding

Mechanisms of Long Duration Fibrillation, Defibrillation and RefibrillationR01HL085370 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI IDEKER, RAYMOND E. · 2007 to 2014
$2.9M
COMPUTER ASSISTED MAPPING OF VENTRICULAR FIBRILLATIONR01HL028429 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI IDEKER, RAYMOND E. · 1985 to 2009
$2.9M
Mechanisms of Defibrillation &Shock-Induced ArrhythmiasR01HL067748 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FAST, VLADIMIR G · 2001 to 2012
$2.1M
NHLBI NIH HHS HL28429NHLBI NIH HHS HL67748NHLBI NIH HHS HL85370NHLBI NIH HHS R01 HL028429NHLBI NIH HHS R01 HL067748NHLBI NIH HHS R01 HL085370
6 · The paper itself

Abstract

backgroundKnowledge of transmural V(m) changes is important for understanding the mechanism of long-duration ventricular fibrillation (LDVF).

objectiveThe purpose of this study was to measure transmural V(m) changes during LDVF.

methodsV(m) was recorded optically at up to 8 transmural points separated by 1.5 mm in the left ventricle of Langendorff-perfused canine hearts (n = 6) using a bundle of optical fibers (optrode) during 10 minutes of LDVF followed by 3 minutes of VF with reperfusion. Measurements were grouped into 4 layers: epicardium, subepicardium, midwall, and subendocardium.

resultsActivation rates (ARs) and action potential durations (APDs) decreased, whereas diastolic intervals (DIs) increased during LDVF in all transmural layers (P < .05). After approximately 3 minutes of LDVF, ARs were faster and DIs shorter in the midwall and subendocardium than in the epicardium and subepicardium (P < .05). Activations persisted at the subendocardium but disappeared from other layers after approximately 8 minutes of VF in the majority of hearts. There were no transmural differences in APD during LDVF or during pacing before and after LDVF (P > .05). Restitution plots showed no functional relationship between APD and DI in any layer at any stage of LDVF. Partial reperfusion during VF for 3 minutes restored transmural synchronicity of activation and eliminated gradients in activation parameters.

conclusionV(m) dynamics evolve differently at different transmural layers. The subendocardium maintains persistent and the fastest activation during 10 minutes of LDVF, suggesting it contains the source of VF wavefronts. There are no transmural APD gradients and no restitution relationship between APD and DI at any transmural layer, indicating these are not the primary factors in the mechanism of LDVF.

Indexed as

Action PotentialsAnimalsDogsMaleVentricular Fibrillation

Identifiers

PMID19467507
PMCPMC2716218
OpenAlexW2024923246

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.