Steep action potential duration (APD) restitution slopes (>1) and spatial APD restitution heterogeneity provide the substrate for ventricular fibrillation in computational models and experimental studies. Their relationship to ventricular arrhythmia vulnerability in human cardiomyopathy has not been defined. Patients with cardiomyopathy [left ventricular (LV) ejection fraction <40%] and no hist...

AIMS The atrial potential duration (APD) restitution has been suggested to play an important role in ventricular fibrillation; however, its role in atrial fibrillation (AF) has not been determined. This study sought to investigate the APD restitution properties in two different AF models: vagally mediated AF and 6-h rapid atrial pacing-induced AF. METHODS AND RESULTS Twenty anaesthetized open...

Although the kinetics of cardiac systolic force restitution have been well described, the restitution kinetics of left ventricular relaxation have not been examined. To define relaxation restitution behavior, we studied seven dogs chronically instrumented with left ventricular high-fidelity micromanometers and piezoelectric dimension crystals. After a priming period at a basic cycle length of 3...

OBJECTIVE To characterise electrical restitution in the intact human heart. PATIENTS AND METHODS A series of monophasic action potential electrical restitution curves were constructed from a single right ventricular endocardial site in eight patients (three men) without structural heart disease aged 52-68 (mean 55 years). A combination pacing/monophasic action potential electrode was used to ...

As a simple model of reentry, we use a general FitzHugh-Nagumo model on a ring (in the singular limit) to build an understanding of the scope of the restitution hypothesis. It has already been shown that for a traveling pulse solution with a phase wave back, the restitution hypothesis gives the correct stability condition. We generalize this analysis to include the possibility of a pulse with a...

Spiral wave breakup is a proposed mechanism underlying the transition from ventricular tachycardia to fibrillation. We examined the importance of the restitution of action potential duration (APD) and of conduction velocity (CV) to the stability of spiral wave reentry in a two-dimensional sheet of simulated cardiac tissue. The Luo-Rudy ventricular action potential model was modified to eliminat...

INTRODUCTION Electrical restitution, relating action potential duration (APD) to diastolic interval (DI), was believed to determine the stability of heart rhythm. However, recent studies demonstrate that stability also depends on long-term APD changes caused by memory. This study presents a new method for investigation of rate- and memory-dependent aspects of restitution and for assessment of m...

This study was conducted to determine the contribution of ion transport to restitution after injury in the gastric mucosa. For this, intact sheets of stomach from the bullfrog, Rana catesbeiana, were mounted in Ussing chambers. Restitution was evaluated in the presence or absence of ion transport inhibitors amiloride, DIDS, and bumetanide to block Na(+)/H(+) exchange, Cl(-)/HCO(3)(-) exchange a...

Results Compared with paroxysmal AF, patients with persistent AF had shorter left atrial APD and effective refractory period (p 0.01). In paroxysmal AF, maximum left atrial APD restitution slope was 1.5 0.4; and 12 of 13 patients had slope 1 (p 0.001). In persistent AF, PACs encountered prolonged activation for a wider range of beats than in paroxysmal AF (p 0.01), which prolonged DI and flatte...