Jul 20, 2010

Role of the atrial rate as a factor modulating ventricular response during atrial fibrillation

Pacing and Clinical Electrophysiology : PACE
Andreu M ClimentAndreas Bollmann


During atrial fibrillation (AF), RR interval histograms show different populations of predominant RR (pRR) intervals. These pRR intervals have been suggested to be multiples of the refractory period of the atrioventricular (AV) node or caused by the existence of a dual AV node physiology. In this study, the hypothesis that pRR intervals are related to the dominant atrial fibrillatory rate is tested. In this study, Holter electrocardiogram signals from 55 patients with persistent AF were analyzed. Number and position of pRR intervals were detected and compared with mean and standard deviation of the dominant atrial cycle length (DACL). In addition, effects of an enhancement of vagal activity and rate-control treatments (β-blockers and verapamil) were evaluated. In all patients with more than one pRR interval and in 47% with one pRR interval, RR interval populations were statistically related with multiples of the DACL. During night activities and during β-blockers treatment, mean ventricular rate was decreased (P < 0.01). This change was associated with a variation in the percentage of occurrences of each pRR (P < 0.01), whereas no statistical differences were present in the mean DACL or in the position of pRR intervals. A varia...Continue Reading

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Mentioned in this Paper

Left Ventricular Structure
Right Atrial Structure
Vagus Nerve Structure
Atrial Fibrillation
Holter Electrocardiography
Cardiac Depressants
Refractory Period
Structure of Atrioventricular Node

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