Skip to main navigation Skip to search Skip to main content

Electrographic response of the heart to myocardial ischemia

  • Kedar K. Aras
  • , S. Shome
  • , D. J. Swenson
  • , J. Stinstra
  • , R. S. MacLeod
  • Boston Scientific Corporation
  • University of Utah

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

5 Scopus citations

Abstract

Electrocardiographic (ECG) ST segment shifts are often used as markers for detecting myocardial ischemia. Literature suggests that the progression of ischemia, occurs from the endocardium and spreads towards the epicardium, eventually becoming transmural. Our study with animal models has found the progression of ischemia, characterized by ST elevations to be more complex and heterogeneous in its distribution. We used in situ canine preparations, wherein the animals were subjected to demand ischemia by reducing coronary flow and raising the heart rate through atrial pacing. At reduced flow, increasing the heart rate caused pockets of ST elevations to appear variously distributed in the sub-epicardial, mid-myocardial and endocardial regions. Further reduction in coronary flow with simultaneous raising of the heart rate, increased the extent and magnitude of ST elevated regions, that in certain cases became transmural.

Original languageEnglish
Title of host publicationComputers in Cardiology 2009, CinC 2009
PublisherIEEE Computer Society
Pages105-108
Number of pages4
ISBN (Print)9781424472819
StatePublished - 2009
Event36th Annual Conference of Computers in Cardiology, CinC 2009 - Park City, UT, United States
Duration: Sep 13 2009 → Sep 16 2009

Publication series

NameComputers in Cardiology
Volume36
ISSN (Print)0276-6574
ISSN (Electronic)2325-8853

Conference

Conference36th Annual Conference of Computers in Cardiology, CinC 2009
Country/TerritoryUnited States
CityPark City, UT
Period09/13/09 → 09/16/09

Fingerprint

Dive into the research topics of 'Electrographic response of the heart to myocardial ischemia'. Together they form a unique fingerprint.

Cite this