PMID- 14668182 OWN - NLM STAT- MEDLINE DCOM- 20040601 LR - 20061115 IS - 1401-7431 (Print) IS - 1401-7431 (Linking) VI - 37 IP - 6 DP - 2003 Dec TI - Global dispersion of right atrial repolarization in healthy pigs and patients. PG - 329-33 AB - OBJECTIVE: To investigate the feasibility of monophasic action potential (MAP) mapping using an electroanatomical mapping system (CARTO) in obtaining information on global dispersion of atrial repolarization and to evaluate the role of dispersion of repolarization in the genesis of paroxysmal atrial fibrillation (PAF). METHODS AND RESULTS: Right atrial MAPs were recorded from 53 +/- 18 sites in 10 healthy pigs and 33 +/- 21 sites in 6 patients with and 4 patients without history of PAF. In pigs, the global dispersions of activation time (AT), MAP duration and end of repolarization time (EOR), 70 +/- 8, 95 +/- 18 and 121 +/- 28 ms, respectively, were significantly greater than those among 10, 20 and 30 sites. In patients with PAF, the global dispersions of MAP duration and EOR (128 +/- 10 and 149 +/- 31 ms) were significantly greater than those in patients without PAF (84 +/- 10 and 91 +/- 17 ms). CONCLUSION: MAP mapping using the CARTO system was feasible in experimental and clinical settings in obtaining information on global dispersion of atrial repolarization. The number of recording sites could significantly affect repolarization parameters. The dispersions of atrial repolarization were significantly greater in patients with PAF than those without, suggesting the involvement of an increased dispersion of repolarization in the genesis of PAF. FAU - Hertervig, Eva AU - Hertervig E AD - Department of Cardiology, University Hospital, Lund, Sweden. FAU - Li, Zhen AU - Li Z FAU - Kongstad, Ole AU - Kongstad O FAU - Holm, Magnus AU - Holm M FAU - Olsson, S Bertil AU - Olsson SB FAU - Yuan, Shiwen AU - Yuan S LA - eng PT - Comparative Study PT - Journal Article PL - England TA - Scand Cardiovasc J JT - Scandinavian cardiovascular journal : SCJ JID - 9708377 SB - IM MH - Action Potentials/physiology MH - Adult MH - Aged MH - Analysis of Variance MH - Animals MH - Atrial Function, Right/*physiology MH - Body Surface Potential Mapping/*methods MH - Electrophysiologic Techniques, Cardiac MH - Female MH - Heart Atria/anatomy & histology/*physiopathology MH - Heart Conduction System/physiology MH - Humans MH - Male MH - Middle Aged MH - Models, Animal MH - Models, Cardiovascular MH - Swine EDAT- 2003/12/12 05:00 MHDA- 2004/06/02 05:00 CRDT- 2003/12/12 05:00 PHST- 2003/12/12 05:00 [pubmed] PHST- 2004/06/02 05:00 [medline] PHST- 2003/12/12 05:00 [entrez] AID - 8666PCHTAQ3EM8PC [pii] AID - 10.1080/14017430310016207 [doi] PST - ppublish SO - Scand Cardiovasc J. 2003 Dec;37(6):329-33. doi: 10.1080/14017430310016207.