Significance of Impaired Conduction between the Sinus Node and Right Atrium for Appearance of Absolute Arrhythmia in Mitral Stenosis

Author(s):  
L. Georgiev ◽  
A. Atanassov
Circulation ◽  
2021 ◽  
Vol 143 (17) ◽  
pp. 1725-1728
Author(s):  
Emilio Arbas-Redondo ◽  
Álvaro Montes-Muñiz ◽  
Carlos A. Álvarez-Ortega

1988 ◽  
Vol 96 (5) ◽  
pp. 816-822 ◽  
Author(s):  
Sergio A. Battistessa ◽  
Siew Yen Ho ◽  
Robert H. Anderson ◽  
Audrey Smith ◽  
Philip B. Deverall

1978 ◽  
pp. 258-269 ◽  
Author(s):  
Gerhard Steinbeck ◽  
Felix I.M. Bonke ◽  
Maurits A. Allessie ◽  
Wim J.E.P. Lammers

2005 ◽  
Vol 22 (8) ◽  
pp. 693-694 ◽  
Author(s):  
Stella Brili ◽  
Vassilis I. Barberis ◽  
Apostolos Drollias ◽  
John Barbetseas ◽  
Christodoulos Stefanadis

1986 ◽  
Vol 250 (4) ◽  
pp. H693-H698 ◽  
Author(s):  
A. Saito ◽  
S. Kimura ◽  
K. Goto

The potential neurotransmitter role of calcitonin gene-related peptide (CGRP) in cardioacceleratory nonadrenergic noncholinergic (NANC) nerves was examined in the guinea pig right atrium in vitro. In the presence of atropine, a muscarinic antagonist, and atenolol, a beta-adrenoceptor antagonist, transmural nerve stimulation (TNS) of the isolated right atrium caused a positive chronotropic response, which is slow in both onset and decay. This TNS-induced slow response was assumed to be mediated by NANC nerves in the right atrium since tetrodotoxin inhibited the response. Dense distribution of CGRP-like immunoreactive (CGRP-I) nerves was demonstrated in the sinus node. Exogenously applied CGRP exerted a positive chronotropic effect on the isolated right atrium in a dose-dependent manner. Both CGRP-I nerves and NANC response induced by TNS were not affected by surgical sympathectomy and reserpine pretreatment but were abolished by the pretreatment of animals with capsaicin. The results suggest that CGRP is the neurotransmitter of cardioacceleratory NANC nerves in the right atrium of the guinea pig.


1970 ◽  
Vol 79 (1) ◽  
pp. 28-35 ◽  
Author(s):  
William C. Roberts ◽  
J.O'Neal Humphries ◽  
Andrew G. Morrow

1990 ◽  
Vol 258 (6) ◽  
pp. H1632-H1641 ◽  
Author(s):  
R. B. Schuessler ◽  
B. I. Bromberg ◽  
J. P. Boineau

Unipolar electrograms were recorded from 360 sites in 20 isolated, perfused canine right atria. In 52% of the preparations, spontaneous activation started in the sinus node region. In 32% of the preparations, spontaneous activation was initiated at the junction of the intercaval band and the crista terminalis. Simultaneous multicentric initiation occurred from both sites in 16% of the preparations. With infusion of incrementally increasing doses of norepinephrine, the superior sinus node site consistently assumed dominance. Infusion of incrementally increasing doses of acetylcholine produced no consistent pattern of pacemaker dominance. Propagation velocity during pacing was unaffected by either neurotransmitter. The results demonstrate the presence of two different pacemaker sites in the posterior right atrium that function spontaneously, devoid of any active or significant autonomic input. Exchange of dominance between the two sites occurs in the presence of norepinephrine and acetylcholine. The two sites appear to have a differential sensitivity to norepinephrine but are not differentially sensitive to acetylcholine. Changes in the pattern of activation seen with either neurotransmitters are mediated exclusively by the site of initiation and not by changes in conduction.


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