Arrhythmias & electrophysiology

Complex repolarization dynamics in ex vivo human ventricles are independent of the restitution properties

EuropacePublished Mechanistic study

Authors' conclusion

We present evidence of complex higher-order periodicities and the co-existence of such regions with stable non-chaotic areas in ex vivo human hearts.

Study context

Population
Explanted human hearts from heart transplant recipients (RV endocardial surface, rapid pacing)
Participants
6 explanted hearts
Outcome
Existence of higher-order periodicities in repolarization (periods over two)
Methodological detailsex vivo optical mapping
  • Ex vivo optical mapping

Main finding

As reported in the abstract

Statistically significant global 1:4 peak
3 of 6 hearts
Regional presence of periods >2 (spatially heterogeneous Periods 4, 6 and 8)
all hearts

Original publication

Complex repolarization dynamics in ex vivo human ventricles are independent of the restitution properties. Europace. Published 25 November 2023. doi:10.1093/europace/euad350

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