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Franz MR, Chin MC, Sharkey HR, et al. A new single catheter technique for simultaneous measurement of action potential duration and refractory period in vivo. J Am Coll Cardiol. 1990;16(4):878-86doi: 10.1016/s0735-1097(10)80336-5.
Franz, M. R., Chin, M. C., Sharkey, H. R., Griffin, J. C., & Scheinman, M. M. (1990). A new single catheter technique for simultaneous measurement of action potential duration and refractory period in vivo. Journal of the American College of Cardiology, 16(4), 878-86. https://doi.org/10.1016/s0735-1097(10)80336-5
Franz, M R, et al. "A new single catheter technique for simultaneous measurement of action potential duration and refractory period in vivo." Journal of the American College of Cardiology vol. 16,4 (1990): 878-86. doi: https://doi.org/10.1016/s0735-1097(10)80336-5
Franz MR, Chin MC, Sharkey HR, Griffin JC, Scheinman MM. A new single catheter technique for simultaneous measurement of action potential duration and refractory period in vivo. J Am Coll Cardiol. 1990 Oct;16(4):878-86. doi: 10.1016/s0735-1097(10)80336-5. PMID: 2212368.
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Elsevier Science

J Am Coll Cardiol. 1990 Oct;16(4):878-86. doi: 10.1016/s0735-1097(10)80336-5.

A new single catheter technique for simultaneous measurement of action potential duration and refractory period in vivo.

Journal of the American College of Cardiology

M R Franz, M C Chin, H R Sharkey, J C Griffin, M M Scheinman

Affiliations

  1. Cardiology Division, Stanford University School of Medicine, California 94305.

PMID: 2212368 DOI: 10.1016/s0735-1097(10)80336-5
Free Article

Abstract

In vivo correlations of action potential duration measured by a monophasic action potential catheter and effective refractory period measured by a separate pacing catheter have been poor, probably because of the known variability of both action potential duration and effective refractory period between different ventricular sites. In this study, a new quadripolar contact electrode catheter designed for simultaneous pacing and monophasic action potential recording at closely adjacent sites (2 mm separation between recording electrodes and pacing electrodes) was tested in five closed chest dogs and four patients. Dog studies: Pacing thresholds were extremely low, ranging from 0.02 to 0.25 mA (mean +/- SD 0.099 +/- 0.051, n = 36) and were stable over time (less than 20% increase during 1 h of continuous pacing). Because of the close proximity of pacing and recording electrodes, the pacing artifact nearly coincided with the monophasic action potential upstroke. Because of the low pacing threshold, however, pacing artifacts were small (33 +/- 17% of the monophasic action potential amplitude at twice diastolic threshold strength) and did not affect the duration or configuration of the simultaneously recorded monophasic action potential. The short stimulus response time and the undisturbed monophasic action potential signal fidelity during pacing allowed precise simultaneous measurements of action potential duration and effective refractory period at the same endocardial site.(ABSTRACT TRUNCATED AT 250 WORDS)

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