Influence of autonomic stimulation on the genesis of atrial fibrillation in remodeled canine atria not the same as in normal atria.
BACKGROUND
The role of autonomic effects in the occurrence and maintenance of atrial fibrillation (AF) has undergone little investigation in the remodeling heart.


RESULTS
In the present study, 2 groups were studied: those with complete atrioventricular block (AVB) produced by radiofrequency current application (AVB dogs, n=17) and those not undergoing AVB (sham dogs, n=5). Eight weeks after creation of AVB, electrophysiologic study, including pulmonary vein (PV) pacing for AF induction, was performed under vagal nerve stimulation (VNS) and sympathetic stimulation (SS) in both groups. After 8 weeks, atrial dimensions and the percentage of fibrosis in the atria were significantly greater in the AVB dogs. In AVB dogs, atrial and PV effective refractory periods were shorter (P<0.01), and atrial conduction velocity increased (P=0.01) during SS, but not during VNS. Inducibility of AF increased only during SS in the AVB dogs (sustained AF: control 7%, SS 60%; P=0.005), whereas it increased only during VNS in the sham dogs.


CONCLUSIONS
In the remodeled atria, sympathetic stimulation was crucial for the genesis of AF, which is completely different from the condition in normal atria.
Furukawa
Toshiyuki
T
Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Hirao
Kenzo
K
Horikawa-Tanami
Tomoe
T
Hachiya
Hitoshi
H
Isobe
Mitsuaki
M
D000200:Action Potentials / Q000502:physiology; D000818:Animals; D001281:Atrial Fibrillation / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D001283:Atrioventricular Node / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery; D002316:Cardiotonic Agents / Q000494:pharmacology; D017115:Catheter Ablation; D004195:Disease Models, Animal; D004285:Dogs; D004452:Echocardiography; D004558:Electric Stimulation; D004562:Electrocardiography; D006325:Heart Atria / Q000033:anatomy & histology / Q000473:pathology / Q000503:physiopathology; D006327:Heart Block / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D007545:Isoproterenol / Q000494:pharmacology; D010138:Pacemaker, Artificial; D012032:Refractory Period, Electrophysiological / Q000502:physiology; D013564:Sympathetic Nervous System / Q000502:physiology*; D014630:Vagus Nerve / Q000502:physiology
D002316:Cardiotonic Agents; D007545:Isoproterenol