Background: Recent studies highlighted the benefits of biventricular pacing for patients with congestive heart failure, but latest studies suggested that epicardial pacing might lead to a prominent increase in dispersion of ventricular repolarization (DVR), which may be linked to the reported sudden death in patients with biventricular pacing. However, the detail changes of DVR under epicardial pacing had never been in vivo evaluated.
Methods Using the CARTO system on 10 healthy pigs, monophasic action potential (MAP) was sequentially recorded from 126±35 sites in 6 regions of the RV (anterior, lateral, posterior, septal, apical area and outflow tract) and in 5 regions of the LV (anterior, lat
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