Identification of the rate-dependent functional refractory period of the atrioventricular node in simulated atrial fibrillation

Am Heart J. 1991 Mar;121(3 Pt 1):820-6. doi: 10.1016/0002-8703(91)90194-m.

Abstract

We continuously observed successive pairs of R-R intervals during atrial fibrillation and hypothesized that the shortest R-R interval for a given preceding R-R interval in a pair represents the functional refractory period of the atrioventricular node at that preceding interval. To test this hypothesis we simulated atrial fibrillation in 28 isolated cross-perfused canine hearts and obtained an R-R interval scatterplot by plotting the R-R intervals as a function of the immediately preceding R-R interval. This scatterplot enabled us to detect a series of the shortest R-R intervals for a wide range of preceding R-R intervals, and this allowed us to estimate the rate-dependent functional refractory period of the atrioventricular node in simulated atrial fibrillation. The estimated functional refractory periods correlated well with those measured by the conventional method (r = 0.93). We conclude that the proposed method makes it possible to estimate the rate-dependent functional refractory periods of the atrioventricular node in atrial fibrillation.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Atrial Fibrillation / physiopathology*
  • Atrioventricular Node / physiopathology*
  • Bundle of His / physiopathology
  • Cardiac Pacing, Artificial
  • Dogs
  • Electrocardiography
  • Perfusion
  • Refractory Period, Electrophysiological / physiology