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The effect of cryoinjury on ventricular tachycardia in the swine right ventricle

 Boyoung Joung  ;  Zhengzhe Xu  ;  Ilkwon Kim  ;  Moon-hyoung Lee  ;  Sungsoon Kim 
 YONSEI MEDICAL JOURNAL, Vol.47(5) : 672-679, 2006 
Journal Title
Issue Date
Animals ; Cryosurgery* ; Disease Models, Animal ; Female ; Heart Ventricles/physiopathology* ; Heart Ventricles/surgery ; In Vitro Techniques ; Swine ; Tachycardia, Ventricular/physiopathology* ; Ventricular Fibrillation/physiopathology*
Activation mapping of arrhythmias ; ventricular tachycardia/fibrillat
This study was performed to assess the influence of the cryoinjury on the dynamics of wavefronts and to determine whether they can convert ventricular fibrillation (VF) to ventricular tachycardia (VT) in fibrillating right ventricular (RV) of swines using an optical mapping system. A cryoinjury with a diameter of 12 mm was created on the epicardium of perfused RV of swines (n = 6) and optical mapping were taken from baseline until 10 minutes after the cryoinjury. Out of 35 cryoinjuries, the images were possible to be interpreted in 32. The optical action potential could not be observed in either the cryoinjury or peri-injury sites at 1 and 3 minutes, was observed in only the cryoinjury site at 5 minutes, and recovered in both sites at 10 minutes. The cycle length of the tachycardia was 135.9 ± 23.6 msec at baseline, 176.2 ± 79.3 msec at 1 minute, 187.6 ± 97.9 msec at 3 minutes, 185.5 ± 19.2 msec at 5 minutes, and 152.1 ± 64.1 msec at 10 minutes. The cycle lengths at 1, 3, and 5 minutes after the cryoinjury were significantly more prolonged than that at baseline (p = 0.001, p = 0.006, p = 0.016). After the cryoinjury, the VF changed to VT in 9 (28.0%), and terminated in 2 (6.3%). These changes were observed mainly within 5 minutes after cryoinjury. The cryoinjury had anti-fibrillatory effects on the tissue with VF. This phenomenon was related to a decreasing mass and stabilizing wavefronts.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Soon(김성순)
Lee, Moon Hyoung(이문형) ORCID logo https://orcid.org/0000-0002-7268-0741
Joung, Bo Young(정보영) ORCID logo https://orcid.org/0000-0001-9036-7225
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