Publication detail

The Response of Ventricular Repolarization Parameters to Preload Changes in the Isolated Working Heart

HEJČ, J. RONZHINA, M. JANOUŠEK, O. OLEJNÍČKOVÁ, V. NOVÁKOVÁ, M. KOLÁŘOVÁ, J. STRAČINA, T.

Original Title

The Response of Ventricular Repolarization Parameters to Preload Changes in the Isolated Working Heart

Czech Title

The Response of Ventricular Repolarization Parameters to Preload Changes in the Isolated Working Heart

English Title

The Response of Ventricular Repolarization Parameters to Preload Changes in the Isolated Working Heart

Type

conference paper

Language

en

Original Abstract

Heart rate dependency of ventricular repolarization (VR) parameters has been a well known phenomenon for many years. Other contributing factors, such as Mechano-electric Coupling, are still under investigation. In this work, we analyze step response of VR parameters after abrupt change in mechanical end-diastolic load. 10 isolated rabbit hearts were perfused in Working Heart mode. The protocol consisted of abrupt changes in preload level of 3 cmH2O. Left ventricle electric activity was recorded by seven unipolar leads at sampling frequency 10 kHz. A second-order transfer function model was used to identify basic parameters of QTEND and QTPEAK step responses, detected in reconstructed global pseudo-lead. Results show inverse relationship between changes in the preload and the length of QT related intervals. Increase of the preload causes significant (p<0.05) shortening of both intervals within the range of 1.6–26.9 ms. On the contrary, preload decreasing leads to prolongation of repolarization parameters, however, with significantly lower (p<0.05) average magnitude. Dynamic response is highly individual among each heart. Average time needed to reach stable QT in our data is 336.0 seconds, while min. and max. value is 41.4 and 894.0 seconds, respectively.

Czech abstract

Heart rate dependency of ventricular repolarization (VR) parameters has been a well known phenomenon for many years. Other contributing factors, such as Mechano-electric Coupling, are still under investigation. In this work, we analyze step response of VR parameters after abrupt change in mechanical end-diastolic load. 10 isolated rabbit hearts were perfused in Working Heart mode. The protocol consisted of abrupt changes in preload level of 3 cmH2O. Left ventricle electric activity was recorded by seven unipolar leads at sampling frequency 10 kHz. A second-order transfer function model was used to identify basic parameters of QTEND and QTPEAK step responses, detected in reconstructed global pseudo-lead. Results show inverse relationship between changes in the preload and the length of QT related intervals. Increase of the preload causes significant (p<0.05) shortening of both intervals within the range of 1.6–26.9 ms. On the contrary, preload decreasing leads to prolongation of repolarization parameters, however, with significantly lower (p<0.05) average magnitude. Dynamic response is highly individual among each heart. Average time needed to reach stable QT in our data is 336.0 seconds, while min. and max. value is 41.4 and 894.0 seconds, respectively.

English abstract

Heart rate dependency of ventricular repolarization (VR) parameters has been a well known phenomenon for many years. Other contributing factors, such as Mechano-electric Coupling, are still under investigation. In this work, we analyze step response of VR parameters after abrupt change in mechanical end-diastolic load. 10 isolated rabbit hearts were perfused in Working Heart mode. The protocol consisted of abrupt changes in preload level of 3 cmH2O. Left ventricle electric activity was recorded by seven unipolar leads at sampling frequency 10 kHz. A second-order transfer function model was used to identify basic parameters of QTEND and QTPEAK step responses, detected in reconstructed global pseudo-lead. Results show inverse relationship between changes in the preload and the length of QT related intervals. Increase of the preload causes significant (p<0.05) shortening of both intervals within the range of 1.6–26.9 ms. On the contrary, preload decreasing leads to prolongation of repolarization parameters, however, with significantly lower (p<0.05) average magnitude. Dynamic response is highly individual among each heart. Average time needed to reach stable QT in our data is 336.0 seconds, while min. and max. value is 41.4 and 894.0 seconds, respectively.

Keywords

QT interval, ventricular repolarization, ventricular load, preload, mechano-electric coupling, dynamic response, isolated heart, working heart

Released

30.09.2016

Publisher

Computing in Cardiology 2016

Location

Vancouver, Canada

ISBN

978-1-5090-0684-7

Book

Computing in Cardiology 2016

Edition

43

Edition number

1

Pages from

1

Pages to

4

Pages count

4

BibTex


@inproceedings{BUT129890,
  author="Jakub {Hejč} and Marina {Ronzhina} and Oto {Janoušek} and Veronika {Olejníčková} and Marie {Nováková} and Jana {Kolářová} and Tibor {Stračina}",
  title="The Response of Ventricular Repolarization Parameters to Preload Changes in the Isolated Working Heart",
  annote="Heart rate dependency of ventricular repolarization (VR) parameters has been a well known phenomenon for many years. Other contributing factors, such as Mechano-electric Coupling, are still under investigation. In this work, we analyze step response of VR parameters after abrupt change in mechanical end-diastolic load.
10 isolated rabbit hearts were perfused in Working Heart mode. The protocol consisted of abrupt changes in preload level of 3 cmH2O. Left ventricle electric activity was recorded by seven unipolar leads at sampling frequency 10 kHz. A second-order transfer function model was used to identify basic parameters of QTEND and QTPEAK step responses, detected in reconstructed global pseudo-lead.
Results show inverse relationship between changes in the preload and the length of QT related intervals. Increase of the preload causes significant (p<0.05) shortening of both intervals within the range of 1.6–26.9 ms. On the contrary, preload decreasing leads to prolongation of repolarization parameters, however, with significantly lower (p<0.05) average magnitude. Dynamic response is highly individual among each heart. Average time needed to reach stable QT in our data is 336.0 seconds, while min. and max. value is 41.4 and 894.0 seconds, respectively.",
  address="Computing in Cardiology 2016",
  booktitle="Computing in Cardiology 2016",
  chapter="129890",
  edition="43",
  howpublished="online",
  institution="Computing in Cardiology 2016",
  year="2016",
  month="september",
  pages="1--4",
  publisher="Computing in Cardiology 2016",
  type="conference paper"
}