PMID- 16352486 OWN - NLM STAT- MEDLINE DCOM- 20060321 LR - 20081121 IS - 1401-7431 (Print) IS - 1401-7431 (Linking) VI - 39 IP - 6 DP - 2005 Dec TI - Epicardial and endocardial dispersion of ventricular repolarization. A study of monophasic action potential mapping in healthy pigs. PG - 342-7 AB - OBJECTIVES: To investigate the total dispersion of ventricular repolarization of the epi- and endocardium. DESIGN: Monophasic action potentials (MAP) were recorded from 211+/-54 (151-353) left and right ventricular epi- and endocardial sites during atrial pacing in 10 pigs using the CARTO system. The activation time (AT), MAP duration (MAPd) and end of repolarization time (EOR) were measured. RESULTS: The total dispersion of AT, EOR and MAPd, defined as the maximal differences of these parameters over both the epi- and endocardium, were 57+/-10, 84+/-20, and 75+/-21 ms respectively and were significantly larger than the respective epi- and endocardial dispersions (p<0.05). The epicardial dispersion of AT, EOR and MAPd of both the right and left ventricles were significantly larger than that of each ventricle alone (p<0.02). Sternotomy did not affect these dispersion parameters. CONCLUSION: Detailed mapping of epicardial repolarization in vivo using the MAP mapping technique is feasible. Both the epi- and endocardium of the two ventricles contribute significantly to the total dispersion of repolarization. FAU - Kongstad, Ole AU - Kongstad O AD - Department of Cardiology, University Hospital, Lund, Sweden. Ole.kongstad@skane.se FAU - Xia, Yunlong AU - Xia Y FAU - Liang, Yanchun AU - Liang Y FAU - Hertervig, Eva AU - Hertervig E FAU - Ljungstrom, Erik AU - Ljungstrom E FAU - Olsson, Bertil AU - Olsson B FAU - Yuan, Shiwen AU - Yuan S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Scand Cardiovasc J JT - Scandinavian cardiovascular journal : SCJ JID - 9708377 SB - IM MH - *Action Potentials MH - Animals MH - *Body Surface Potential Mapping MH - *Cardiac Pacing, Artificial MH - Endocardium/*physiology MH - Heart Conduction System/*physiology MH - Pericardium/*physiology MH - Swine MH - Time Factors MH - *Ventricular Function EDAT- 2005/12/15 09:00 MHDA- 2006/03/22 09:00 CRDT- 2005/12/15 09:00 PHST- 2005/12/15 09:00 [pubmed] PHST- 2006/03/22 09:00 [medline] PHST- 2005/12/15 09:00 [entrez] AID - RH03616072N17711 [pii] AID - 10.1080/14017430500188744 [doi] PST - ppublish SO - Scand Cardiovasc J. 2005 Dec;39(6):342-7. doi: 10.1080/14017430500188744.