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Vulnerability of the right ventricle to cathodal, anodal and bipolar stimulation at double diastolic threshold strength
The repetitive ventricular response (RVR) to three stimulation techniques (bipolar, cathodal and anodal) was investigated in 35 patients. 26 patients suffered from coronary heart disease and 9 patients from dilative cardiomyopathy. The stimulation study was performed at a ventricular driving rate of...
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Published in: | Basic research in cardiology 1984, Vol.79 (1), p.75-79 |
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description | The repetitive ventricular response (RVR) to three stimulation techniques (bipolar, cathodal and anodal) was investigated in 35 patients. 26 patients suffered from coronary heart disease and 9 patients from dilative cardiomyopathy. The stimulation study was performed at a ventricular driving rate of 120/min with one and two premature ventricular extrastimuli. We used rectangular impulses of 1.8 ms duration at double diastolic threshold strength. RVR was scored as follows: 0: no RVR, 1: one nonstimulated RVR, 2: two nonstimulated RVR, 3: three nonstimulated RVR, 4: four to ten nonstimulated RVR, 5: more than ten nonstimulated RVR lasting less than 2 minutes, 6: sustained ventricular tachycardia or ventricular fibrillation. We found that with unipolar anodal stimulation the diastolic threshold was significantly greater and the effective refractory period of the right ventricle was significantly shorter as compared to the other stimulation techniques. Between the three different electrode configurations there were no significant differences concerning the number of consecutive ventricular depolarizations following premature stimulation.
the phenomenon of RVR is not influenced by the stimulation technique (bipolar, cathodal and anodal) at double diastolic threshold. |
doi_str_mv | 10.1007/BF01935809 |
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the phenomenon of RVR is not influenced by the stimulation technique (bipolar, cathodal and anodal) at double diastolic threshold.</description><identifier>ISSN: 0300-8428</identifier><identifier>EISSN: 1435-1803</identifier><identifier>DOI: 10.1007/BF01935809</identifier><identifier>PMID: 6732721</identifier><identifier>CODEN: BRCAB7</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Cardiac Catheterization ; Cardiomyopathies - physiopathology ; Coronary Disease - physiopathology ; Electric Stimulation - methods ; Electrocardiography ; Electrocardiography. Vectocardiography ; Electrodiagnosis. Electric activity recording ; Female ; Heart Ventricles - physiopathology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged</subject><ispartof>Basic research in cardiology, 1984, Vol.79 (1), p.75-79</ispartof><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-840f744901dbca9843a3be21c194f6c2dce433096d8f51841e14037cdf2c9fe83</citedby><cites>FETCH-LOGICAL-c311t-840f744901dbca9843a3be21c194f6c2dce433096d8f51841e14037cdf2c9fe83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9494302$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6732721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>POP, T</creatorcontrib><creatorcontrib>TREESE, N</creatorcontrib><creatorcontrib>MEINERTZ, T</creatorcontrib><creatorcontrib>KASPER, W</creatorcontrib><title>Vulnerability of the right ventricle to cathodal, anodal and bipolar stimulation at double diastolic threshold strength</title><title>Basic research in cardiology</title><addtitle>Basic Res Cardiol</addtitle><description>The repetitive ventricular response (RVR) to three stimulation techniques (bipolar, cathodal and anodal) was investigated in 35 patients. 26 patients suffered from coronary heart disease and 9 patients from dilative cardiomyopathy. The stimulation study was performed at a ventricular driving rate of 120/min with one and two premature ventricular extrastimuli. We used rectangular impulses of 1.8 ms duration at double diastolic threshold strength. RVR was scored as follows: 0: no RVR, 1: one nonstimulated RVR, 2: two nonstimulated RVR, 3: three nonstimulated RVR, 4: four to ten nonstimulated RVR, 5: more than ten nonstimulated RVR lasting less than 2 minutes, 6: sustained ventricular tachycardia or ventricular fibrillation. We found that with unipolar anodal stimulation the diastolic threshold was significantly greater and the effective refractory period of the right ventricle was significantly shorter as compared to the other stimulation techniques. Between the three different electrode configurations there were no significant differences concerning the number of consecutive ventricular depolarizations following premature stimulation.
the phenomenon of RVR is not influenced by the stimulation technique (bipolar, cathodal and anodal) at double diastolic threshold.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiac Catheterization</subject><subject>Cardiomyopathies - physiopathology</subject><subject>Coronary Disease - physiopathology</subject><subject>Electric Stimulation - methods</subject><subject>Electrocardiography</subject><subject>Electrocardiography. Vectocardiography</subject><subject>Electrodiagnosis. Electric activity recording</subject><subject>Female</subject><subject>Heart Ventricles - physiopathology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><issn>0300-8428</issn><issn>1435-1803</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><recordid>eNpFkE1PGzEURa2qKIS0G_ZIXlQsUAPvjZ0ZewkI2kpIbKDbkccfGSNnnNoeUP49g4jS1V3c866eDiGnCJcI0Fzd3ANKthIgv5A5crZaogD2lcyBASwFr8QxOcn5BQB5XeOMzOqGVU2Fc_L2dwyDTarzwZcdjY6W3tLk132hr3YoyetgaYlUq9JHo8JPqoaPnMLQzm9jUInm4jdjUMXHgapCTRy76cp4lUsMXk-byeY-BjORyQ7r0n8jR06FbL_vc0Ge7--ebn8vHx5__bm9flhqhlim38E1nEtA02klBWeKdbZCjZK7WldGW84YyNoIt0LB0SIH1mjjKi2dFWxBzj93tyn-G20u7cZnbUNQg41jbgUiiGaytSAXn6BOMedkXbtNfqPSrkVoPyy3_y1P8Nl-dew21hzQvdap_7HvVdYquKQG7fMBk1xyBhV7B6hahXQ</recordid><startdate>1984</startdate><enddate>1984</enddate><creator>POP, T</creator><creator>TREESE, N</creator><creator>MEINERTZ, T</creator><creator>KASPER, W</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1984</creationdate><title>Vulnerability of the right ventricle to cathodal, anodal and bipolar stimulation at double diastolic threshold strength</title><author>POP, T ; TREESE, N ; MEINERTZ, T ; KASPER, W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-840f744901dbca9843a3be21c194f6c2dce433096d8f51841e14037cdf2c9fe83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiac Catheterization</topic><topic>Cardiomyopathies - physiopathology</topic><topic>Coronary Disease - physiopathology</topic><topic>Electric Stimulation - methods</topic><topic>Electrocardiography</topic><topic>Electrocardiography. Vectocardiography</topic><topic>Electrodiagnosis. Electric activity recording</topic><topic>Female</topic><topic>Heart Ventricles - physiopathology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>POP, T</creatorcontrib><creatorcontrib>TREESE, N</creatorcontrib><creatorcontrib>MEINERTZ, T</creatorcontrib><creatorcontrib>KASPER, W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Basic research in cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>POP, T</au><au>TREESE, N</au><au>MEINERTZ, T</au><au>KASPER, W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vulnerability of the right ventricle to cathodal, anodal and bipolar stimulation at double diastolic threshold strength</atitle><jtitle>Basic research in cardiology</jtitle><addtitle>Basic Res Cardiol</addtitle><date>1984</date><risdate>1984</risdate><volume>79</volume><issue>1</issue><spage>75</spage><epage>79</epage><pages>75-79</pages><issn>0300-8428</issn><eissn>1435-1803</eissn><coden>BRCAB7</coden><abstract>The repetitive ventricular response (RVR) to three stimulation techniques (bipolar, cathodal and anodal) was investigated in 35 patients. 26 patients suffered from coronary heart disease and 9 patients from dilative cardiomyopathy. The stimulation study was performed at a ventricular driving rate of 120/min with one and two premature ventricular extrastimuli. We used rectangular impulses of 1.8 ms duration at double diastolic threshold strength. RVR was scored as follows: 0: no RVR, 1: one nonstimulated RVR, 2: two nonstimulated RVR, 3: three nonstimulated RVR, 4: four to ten nonstimulated RVR, 5: more than ten nonstimulated RVR lasting less than 2 minutes, 6: sustained ventricular tachycardia or ventricular fibrillation. We found that with unipolar anodal stimulation the diastolic threshold was significantly greater and the effective refractory period of the right ventricle was significantly shorter as compared to the other stimulation techniques. Between the three different electrode configurations there were no significant differences concerning the number of consecutive ventricular depolarizations following premature stimulation.
the phenomenon of RVR is not influenced by the stimulation technique (bipolar, cathodal and anodal) at double diastolic threshold.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>6732721</pmid><doi>10.1007/BF01935809</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Aged Biological and medical sciences Cardiac Catheterization Cardiomyopathies - physiopathology Coronary Disease - physiopathology Electric Stimulation - methods Electrocardiography Electrocardiography. Vectocardiography Electrodiagnosis. Electric activity recording Female Heart Ventricles - physiopathology Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged |
title | Vulnerability of the right ventricle to cathodal, anodal and bipolar stimulation at double diastolic threshold strength |
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