Ten weeks of rapid ventricular pacing creates a long-term model of left ventricular dysfunction

Himanshu J. Patel, James J. Pilla, David J. Polidori, Sorin V. Pusca, Theodore A. Plappert, Martin St John Sutton, Edward B. Lankford, Michael A. Acker

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Objective: Rapid ventricular pacing produces a reliable model of heart failure. Cessation after 4 weeks of rapid ventricular pacing results in rapid normalization of left ventricular function, but the left ventricle remains persistently dilated. We present novel data that show that prolonged rapid ventricular pacing (10 weeks) creates a model of chronic left ventricular dysfunction. Methods: In 9 dogs undergoing 10 weeks of rapid ventricular pacing, left ventricular function and volumes were serially assessed by using 2-dimensional echocardiography and pressure-volume analysis for 12 weeks after cessation of pacing. Results: Increased end-diastolic volume and decreased systolic and diastolic function were seen at the end of pacing. By 2 weeks of recovery from rapid ventricular pacing, end-diastolic volume and ejection fraction were partially recovered but did not improve further thereafter. Load-independent and load-sensitive indices of function obtained by pressure-volume analysis at 8 and 12 weeks of recovery confirmed a persistence of both systolic and diastolic dysfunction. In addition, left ventricular mass increased with pacing and remained elevated at 8 and 12 weeks of recovery. Four of these dogs studied at 6 months of recovery showed similar left ventricular abnormalities. Conclusion: Ten weeks of rapid ventricular pacing creates a long-term model of left ventricular dysfunction.

Original languageEnglish (US)
Pages (from-to)834-841
Number of pages8
JournalJournal of Thoracic and Cardiovascular Surgery
Volume119
Issue number4 I
DOIs
StatePublished - 2000

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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