AJP - Heart Calcium Transients and Cell-Sarcomere
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Am J Physiol Heart Circ Physiol 275: H1513-H1519, 1998;
0363-6135/98 $5.00
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Vol. 275, Issue 5, H1513-H1519, November 1998

Ventricular contractility in atrial fibrillation is predictable by mechanical restitution and potentiation

Shunsuke Suzuki1, Junichi Araki1, Terumasa Morita2, Satoshi Mohri1, Takeshi Mikane1, Hiroki Yamaguchi2, Shunji Sano2, Tohru Ohe3, Masahisa Hirakawa4, and Hiroyuki Suga1

Departments of 1 Physiology II, 2 Cardiovascular Surgery, 3 Cardiovascular Medicine, and 4 Anesthesiology and Resuscitology, Okayama University Medical School, Okayama, 700-8558, Japan

We recently found that contractility (Emax) of an individual irregularly arrhythmic beat in electrically induced atrial fibrillation (AF) is reasonably predictable from the ratio of the preceding beat interval (RR1) to the beat interval immediately preceding RR1 (RR2) in the canine left ventricle. Moreover, the monotonically increasing relation between Emax and the RR1-to-RR2 ratio (RR1/RR2) passed through or by the mean arrhythmic beat Emax as well as the regular beat Emax at RR1/RR2 = 1. We hypothesized that this Emax-RR1/RR2 relation during irregular arrhythmia could be attributed to the basic characteristics of the mechanical restitution and potentiation. To test this, we adopted a known comprehensive equation describing the force restitution and potentiation as a function of two preceding beat intervals and simulated contractilities of irregular arrhythmic beats with randomized beat intervals on a computer. The simulated Emax-RR1/RR2 relation reasonably resembled the one that we recently observed experimentally, supporting our hypothesis. We therefore conclude that the primary mechanism underlying the varying contractilities of irregular beats in AF is mechanical restitution and potentiation.

irregular rhythm; arrhythmia; interval-force relation; contractility; calcium


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