Intra-SA-nodal pacemaker shift: indirect evaluation in the open chest dog.
Thirteen open chest dogs with normal sinus node function were studied by premature stimulations with a constant relative prematurity--50% of the preceding sinus cycle length. These premature beats were induced in the lower part of the crista terminalis of the right atrium and to the roof of the left atrium. Significant linear correlations were found between the return cycle (A2A3) and the spontaneous cycle (A1A1) lengths, with a slope of +0.75 in the right atrium, +1.36 in the left atrium. The evaluation of sinus node function is disturbed by pacemaker shifts, both spontaneous and induced. Sinus node organisation may be assessed by stimulating standardised sites, by measuring intra-atrial conduction time, and by comparing A2A3 with A1A1 at constant relative prematurity during significant variations in A1A1 obtained with changes in vago-sympathetic tone.
D000818:Animals; D016275:Atrial Function; D002304:Cardiac Pacing, Artificial; D003080:Cold Temperature; D004285:Dogs; D004558:Electric Stimulation; D012121:Respiration, Artificial; D012849:Sinoatrial Node / Q000502:physiology*