Patterns of activation in ventricular arrhythmias of late myocardial infarction in dogs

E. Kaplinsky, S. Ogawa, J. Kmetzo, L. S. Dreifus

Research output: Contribution to journalArticlepeer-review


Ventricular arrhythmias were produced in 12 dogs 4 to 6 days after coronary artery ligation by programmed ventricular stimulation. The electrocardiograms and 7 composite electrograms from endocardial and epicardial surfaces of the ischemic, border and normal zones, as well as from the right ventricle, were recorded during and after programmed ventricular stimulation. The ventricular arrhythmias were preceded and sustained by delayed, fragmented activity in the ischemic epicardial zone bridging diastole. Efferent pathways from the ischemic epicardium led to direct epicardial spread to adjacent normal epicardium in most instances. Efferent pathways into the endocardial regions were also observed, but to a lesser extent. The efferent reentry pathways led to both ventricles, and produced right and left ventricular arrhythmias in 8 of the 12 dogs; they were exclusively of left ventricular origin in the remaining 5. Classification of right and left ventricular arrhythmias may only be related to the exit points and not necessarily to their origin.

Original languageEnglish
Pages (from-to)405-414
Number of pages10
JournalEuropean Journal of Cardiology
Issue number5
StatePublished - 1979
Externally publishedYes


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