A porcine model of early atrial fibrillation using a custom-built, radio transmission-controlled pacemaker
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A porcine model of early atrial fibrillation using a custom-built, radio transmission-controlled pacemaker. / Schwarzl, Michael; Alogna, Alessio; Zweiker, David; Verderber, Jochen; Huber, Stefan; Manninger, Martin; Scherr, Daniel; Antoons, Gudrun; Pieske, Burkert M; Post, Heiner; Lueger, Andreas.
In: J ELECTROCARDIOL, Vol. 49, No. 2, 25.01.2016, p. 124-31.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A porcine model of early atrial fibrillation using a custom-built, radio transmission-controlled pacemaker
AU - Schwarzl, Michael
AU - Alogna, Alessio
AU - Zweiker, David
AU - Verderber, Jochen
AU - Huber, Stefan
AU - Manninger, Martin
AU - Scherr, Daniel
AU - Antoons, Gudrun
AU - Pieske, Burkert M
AU - Post, Heiner
AU - Lueger, Andreas
N1 - Copyright © 2016 Elsevier Inc. All rights reserved.
PY - 2016/1/25
Y1 - 2016/1/25
N2 - Mechanisms underlying atrial remodeling toward atrial fibrillation (AF) are incompletely understood. We induced AF in 16 pigs by 6weeks of rapid atrial pacing (RAP, 600bpm) using a custom-built, telemetrically controlled pacemaker. AF evolution was monitored three times per week telemetrically in unstressed, conscious animals. We established a dose-response relationship between RAP duration and occurrence of sustained AF >60minutes. Left atrial (LA) dilatation was present already at 2weeks of RAP. There was no evidence of left ventricular heart failure after 6weeks of RAP. As a proof-of-principle, arterial hypertension was induced in 5/16 animals by implanting desoxycorticosterone acetate (DOCA, an aldosterone-analog) subcutaneously to accelerate atrial remodeling. RAP+DOCA resulted in increased AF stability with earlier onset of sustained AF and accelerated anatomical atrial remodeling with more pronounced LA dilatation. This novel porcine model can serve to characterize effects of maladaptive stimuli or protective interventions specifically during early AF.
AB - Mechanisms underlying atrial remodeling toward atrial fibrillation (AF) are incompletely understood. We induced AF in 16 pigs by 6weeks of rapid atrial pacing (RAP, 600bpm) using a custom-built, telemetrically controlled pacemaker. AF evolution was monitored three times per week telemetrically in unstressed, conscious animals. We established a dose-response relationship between RAP duration and occurrence of sustained AF >60minutes. Left atrial (LA) dilatation was present already at 2weeks of RAP. There was no evidence of left ventricular heart failure after 6weeks of RAP. As a proof-of-principle, arterial hypertension was induced in 5/16 animals by implanting desoxycorticosterone acetate (DOCA, an aldosterone-analog) subcutaneously to accelerate atrial remodeling. RAP+DOCA resulted in increased AF stability with earlier onset of sustained AF and accelerated anatomical atrial remodeling with more pronounced LA dilatation. This novel porcine model can serve to characterize effects of maladaptive stimuli or protective interventions specifically during early AF.
KW - Animals
KW - Atrial Fibrillation/diagnosis
KW - Disease Models, Animal
KW - Equipment Design
KW - Equipment Failure Analysis
KW - Female
KW - Pacemaker, Artificial
KW - Prostheses and Implants
KW - Swine
KW - Telemetry/instrumentation
U2 - 10.1016/j.jelectrocard.2015.12.012
DO - 10.1016/j.jelectrocard.2015.12.012
M3 - SCORING: Journal article
C2 - 26803554
VL - 49
SP - 124
EP - 131
JO - J ELECTROCARDIOL
JF - J ELECTROCARDIOL
SN - 0022-0736
IS - 2
ER -