Electrophysiologic depression in myocardium by defibrillation-level shocks

Lawrence J. Fogelson, Leslie Tung, Nitish V Thakor

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

The authors investigated the electrophysiological consequences of high currents on isolated strips of cardiac muscle. The objective was to measure the graded changes in intracellular action potentials - amplitude, duration, excitability, conduction velocity - resulting from the various levels of electrical shock typically used in defibrillation, cardioversion, and ablation. Following the shock, reversible injury is observed, whose severity is graded in proportion to shock strength. Smaller shocks (below 500 ma/cm2, 10 ms) caused depression in action potential amplitude, duration, and propagation velocity. The degree of depression and the time course for complete recovery (0-50-s duration), followed by an action potential recovery phase similar to that observed for the smaller shocks. These graded effects can in conjunction with the whole heart description, of the current densities during defibrillation, permit an estimation of the total volume of tissue subject to inexcitability, reduced propagation velocity, shortened duration, and depressed action potentials.

Original languageEnglish (US)
Title of host publicationIEEE/Engineering in Medicine and Biology Society Annual Conference
PublisherPubl by IEEE
Pages963-964
Number of pages2
Volume10
Editionpt2
StatePublished - Nov 1988
EventProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society - New Orleans, LA, USA
Duration: Nov 4 1988Nov 7 1988

Other

OtherProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society
CityNew Orleans, LA, USA
Period11/4/8811/7/88

Fingerprint

Recovery
Ablation
Muscle
Current density
Tissue

ASJC Scopus subject areas

  • Engineering(all)

Cite this

Fogelson, L. J., Tung, L., & Thakor, N. V. (1988). Electrophysiologic depression in myocardium by defibrillation-level shocks. In IEEE/Engineering in Medicine and Biology Society Annual Conference (pt2 ed., Vol. 10, pp. 963-964). Publ by IEEE.

Electrophysiologic depression in myocardium by defibrillation-level shocks. / Fogelson, Lawrence J.; Tung, Leslie; Thakor, Nitish V.

IEEE/Engineering in Medicine and Biology Society Annual Conference. Vol. 10 pt2. ed. Publ by IEEE, 1988. p. 963-964.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Fogelson, LJ, Tung, L & Thakor, NV 1988, Electrophysiologic depression in myocardium by defibrillation-level shocks. in IEEE/Engineering in Medicine and Biology Society Annual Conference. pt2 edn, vol. 10, Publ by IEEE, pp. 963-964, Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, New Orleans, LA, USA, 11/4/88.
Fogelson LJ, Tung L, Thakor NV. Electrophysiologic depression in myocardium by defibrillation-level shocks. In IEEE/Engineering in Medicine and Biology Society Annual Conference. pt2 ed. Vol. 10. Publ by IEEE. 1988. p. 963-964
Fogelson, Lawrence J. ; Tung, Leslie ; Thakor, Nitish V. / Electrophysiologic depression in myocardium by defibrillation-level shocks. IEEE/Engineering in Medicine and Biology Society Annual Conference. Vol. 10 pt2. ed. Publ by IEEE, 1988. pp. 963-964
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