Atrial dispersion of refractoriness. 1998

J Brachmann, and L Karolyi, and W Kübler
Abt Innere Medizin III, University of Heidelberg, Germany.

In contrast to the ventricular myocardium, until recently the electrophysiologic properties of the human atrium had been studied less intensively. Since new, highly effective therapeutic strategies have become available, both clinical and experimental research has been focused on atrial arrhythmias. Experimental data suggest that shortening of the refractory periods and increased dispersion of refractoriness between adjacent areas of the atrium are characteristic for paroxysmal atrial fibrillation. The duration and frequency of atrial fibrillation episodes seem to be associated with persistent electrophysiologic alteration of the atrium. The influence of the autonomic nervous system, antiarrhythmic drugs, and circadian differences also could play a role in the genesis of atrial arrhythmias.

UI MeSH Term Description Entries
D012032 Refractory Period, Electrophysiological The period of time following the triggering of an ACTION POTENTIAL when the CELL MEMBRANE has changed to an unexcitable state and is gradually restored to the resting (excitable) state. During the absolute refractory period no other stimulus can trigger a response. This is followed by the relative refractory period during which the cell gradually becomes more excitable and the stronger impulse that is required to illicit a response gradually lessens to that required during the resting state. Period, Neurologic Refractory,Periods, Neurologic Refractory,Refractory Period, Neurologic,Tetanic Fade,Vvedenskii Inhibition,Wedensky Inhibition,Inhibition, Vvedenskii,Inhibition, Wedensky,Neurologic Refractory Period,Neurologic Refractory Periods,Neuromuscular Fade,Neuromuscular Transmission Fade,Refractory Period, Neurological,Refractory Periods, Neurologic,Electrophysiological Refractory Period,Electrophysiological Refractory Periods,Fade, Neuromuscular,Fade, Neuromuscular Transmission,Fade, Tetanic,Neurological Refractory Period,Neurological Refractory Periods,Refractory Periods, Electrophysiological,Refractory Periods, Neurological,Transmission Fade, Neuromuscular
D006321 Heart The hollow, muscular organ that maintains the circulation of the blood. Hearts
D006325 Heart Atria The chambers of the heart, to which the BLOOD returns from the circulation. Heart Atrium,Left Atrium,Right Atrium,Atria, Heart,Atrium, Heart,Atrium, Left,Atrium, Right
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
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
D001281 Atrial Fibrillation Abnormal cardiac rhythm that is characterized by rapid, uncoordinated firing of electrical impulses in the upper chambers of the heart (HEART ATRIA). In such case, blood cannot be effectively pumped into the lower chambers of the heart (HEART VENTRICLES). It is caused by abnormal impulse generation. Auricular Fibrillation,Familial Atrial Fibrillation,Paroxysmal Atrial Fibrillation,Persistent Atrial Fibrillation,Atrial Fibrillation, Familial,Atrial Fibrillation, Paroxysmal,Atrial Fibrillation, Persistent,Atrial Fibrillations,Atrial Fibrillations, Familial,Atrial Fibrillations, Paroxysmal,Atrial Fibrillations, Persistent,Auricular Fibrillations,Familial Atrial Fibrillations,Fibrillation, Atrial,Fibrillation, Auricular,Fibrillation, Familial Atrial,Fibrillation, Paroxysmal Atrial,Fibrillation, Persistent Atrial,Fibrillations, Atrial,Fibrillations, Auricular,Fibrillations, Familial Atrial,Fibrillations, Paroxysmal Atrial,Fibrillations, Persistent Atrial,Paroxysmal Atrial Fibrillations,Persistent Atrial Fibrillations

Related Publications

J Brachmann, and L Karolyi, and W Kübler
April 1992, Pacing and clinical electrophysiology : PACE,
J Brachmann, and L Karolyi, and W Kübler
December 1999, Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing,
J Brachmann, and L Karolyi, and W Kübler
January 1982, Giornale italiano di cardiologia,
J Brachmann, and L Karolyi, and W Kübler
August 1979, Circulation,
J Brachmann, and L Karolyi, and W Kübler
January 1997, Journal of the American College of Cardiology,
J Brachmann, and L Karolyi, and W Kübler
June 1992, Journal of the American College of Cardiology,
J Brachmann, and L Karolyi, and W Kübler
May 1984, International journal of clinical pharmacology, therapy, and toxicology,
J Brachmann, and L Karolyi, and W Kübler
September 1996, Journal of cardiovascular electrophysiology,
J Brachmann, and L Karolyi, and W Kübler
May 2003, Journal of cardiovascular electrophysiology,
Copied contents to your clipboard!