Biomaterial Database

Ventriculoatrial conduction in swine during cardiac pacing: animal model for retrograde conduction. 1984

T A Bowman, and H C Hughes

Studies on cardiac conduction disorders and pacemaker tachycardias are usually conducted in patients because the phenomenon of ventriculoatrial (retrograde) conduction resulting from ectopic beats and pacing the ventricles has only been reported in humans. This study was conducted to characterize the ventriculoatrial (VA) conduction and retrograde P wave electrogram (EGM) amplitude and slew rate in 10 anesthetized pigs. Three transvenous pacemaker leads were positioned in the heart: one in the right atrial appendage, one in the sinoatrial (SA) node region, and another in the apex of the right ventricle. Ventriculoatrial conduction always occurred when the heart was paced from the right ventricle. There was a significant difference (p less than 0.05) between the amplitude and slew rate of the intrinsic P wave EGM (6.36 +/- 1.88 mV, 1.03 +/- 0.35 mV/msec) compared to the retrograde P wave EGM (3.12 +/- 1.37 mV, 0.57 +/- 0.18 mV/msec) detected at the SA node region. However, there was no significant difference between the intrinsic P wave EGM (4.81 +/- 2.01 mV, 0.40 +/- 0.26 mV/msec) and the retrograde P wave EGM (4.13 +/- 3.74 mV, 0.13 +/- 0.05 mV/msec) detected in the atrial appendage. The advantage of positioning an electrode in close proximity to the SA node for optimum atrial EGM detection and differentiation from retrograde P wave EGM is evident. The VA conduction time (178.5 +/- 8.5 msec) was significantly greater (p less than 0.01) than the antegrade conduction time (120.0 +/- 18.2 msec). The pig with its VA conduction is a useful model for pacemaker-induced tachycardias and for in vivo testing of drugs and/or pacemaker programs that can be utilized for controlling or preventing them.

UI	MeSH Term	Description	Entries
D002304	Cardiac Pacing, Artificial	Regulation of the rate of contraction of the heart muscles by an artificial pacemaker.	Pacing, Cardiac, Artificial,Artificial Cardiac Pacing,Artificial Cardiac Pacings,Cardiac Pacings, Artificial,Pacing, Artificial Cardiac,Pacings, Artificial Cardiac
D004195	Disease Models, Animal	Naturally-occurring or experimentally-induced animal diseases with pathological processes analogous to human diseases.	Animal Disease Model,Animal Disease Models,Disease Model, Animal
D004562	Electrocardiography	Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.	12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D004594	Electrophysiology	The study of the generation and behavior of electrical charges in living organisms particularly the nervous system and the effects of electricity on living organisms.
D006329	Heart Conduction System	An impulse-conducting system composed of modified cardiac muscle, having the power of spontaneous rhythmicity and conduction more highly developed than the rest of the heart.	Conduction System, Heart,Conduction Systems, Heart,Heart Conduction Systems,System, Heart Conduction,Systems, Heart Conduction
D000818	Animals	Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA.	Animal,Metazoa,Animalia
D012849	Sinoatrial Node	The small mass of modified cardiac muscle fibers located at the junction of the superior vena cava (VENA CAVA, SUPERIOR) and right atrium. Contraction impulses probably start in this node, spread over the atrium (HEART ATRIUM) and are then transmitted by the atrioventricular bundle (BUNDLE OF HIS) to the ventricle (HEART VENTRICLE).	Sinuatrial Node,Sinus Node,Sino-Atrial Node,Sinu-Atrial Node,Node, Sino-Atrial,Node, Sinoatrial,Node, Sinu-Atrial,Node, Sinuatrial,Node, Sinus,Nodes, Sino-Atrial,Nodes, Sinoatrial,Nodes, Sinu-Atrial,Nodes, Sinuatrial,Nodes, Sinus,Sino Atrial Node,Sino-Atrial Nodes,Sinoatrial Nodes,Sinu Atrial Node,Sinu-Atrial Nodes,Sinuatrial Nodes,Sinus Nodes
D013552	Swine	Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).	Phacochoerus,Pigs,Suidae,Warthogs,Wart Hogs,Hog, Wart,Hogs, Wart,Wart Hog
D013610	Tachycardia	Abnormally rapid heartbeat, usually with a HEART RATE above 100 beats per minute for adults. Tachycardia accompanied by disturbance in the cardiac depolarization (cardiac arrhythmia) is called tachyarrhythmia.	Tachyarrhythmia,Tachyarrhythmias,Tachycardias
D016275	Atrial Function	The hemodynamic and electrophysiological action of the HEART ATRIA.	Atrial Functions,Function, Atrial,Functions, Atrial