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Related Concept Videos

Cardiac Action Potential01:30

Cardiac Action Potential

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Cardiac action potentials are essential for proper heart function, enabling the rhythmic contractions needed for adequate blood circulation. Nodal cells and Purkinje fibers, specialized for electrical conduction, generate these action potentials.
The cardiac action potential process involves a series of phases characterized by the movement of ions across the cardiac cell membranes, leading to the depolarization and repolarization of the cardiac myocytes.
Ionic Basis of Cardiac Action Potentials
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Correlation between ECG and Cardiac Cycle01:25

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The electrical signals recorded on an electrocardiogram (ECG) occur before the mechanical processes of contraction and relaxation during the cardiac cycle.
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
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Related Experiment Video

Updated: Jul 1, 2025

Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
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Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System

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Endocardial repolarization dispersion in BrS: A novel automatic algorithm for mapping activation recovery interval.

Sara Latrofa1, Valentina Hartwig2, Lorenzo Bachi1

  • 1Health Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy.

Journal of Cardiovascular Electrophysiology
|March 13, 2024
PubMed
Summary

Repolarization dispersion in the right ventricular outflow tract (RVOT) is increased in Brugada syndrome (BrS). This study shows endocardial activation recovery interval corrected (ARIc) mapping is feasible and correlates with other repolarization markers in BrS patients.

Keywords:
Brugada syndromeTpeak‐Tend intervalactivation recovery intervalelectroanatomic substrateendocardial mappingrepolarization dispersion

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Area of Science:

  • Electrophysiology
  • Cardiology
  • Medical Imaging

Background:

  • Repolarization dispersion in the right ventricular outflow tract (RVOT) is implicated in Brugada syndrome (BrS) type-1 ECG phenotype.
  • Limited data exist on mapping repolarization dispersion in BrS, and the role of endocardial repolarization is poorly understood.

Purpose of the Study:

  • To assess endocardial repolarization patterns using automated activation recovery interval (ARI) calculation in BrS patients and controls.
  • To investigate the relationship between ARI, right ventricle activation time (RVAT), and T-wave peak-to-end interval (Tpe) in BrS patients.

Main Methods:

  • Endocardial high-density electroanatomical mapping (HDEAM) was performed on 39 BrS patients (24 overt type-1 [OType1], 15 latent type-1 [LType1]) and 4 controls.
  • LType1 patients received ajmaline infusion to unmask type-1 ECG.
  • Activation recovery interval corrected (ARIc) was calculated using the Bazett formula; RVAT was derived from activation maps.

Main Results:

  • OType1 and post-ajmaline LType1 patients exhibited significantly longer mean ARIc compared to controls.
  • Ajmaline administration significantly prolonged ARIc in LType1 patients.
  • In patients with type-1 ECG, ARIc showed positive correlations with RVAT and Tpe, particularly in OType1 subjects.

Conclusions:

  • ARIc mapping effectively demonstrates increased endocardial repolarization dispersion in the RVOT of BrS patients.
  • Endocardial ARIc is a feasible marker that positively correlates with RVAT and Tpe, especially in overt type-1 BrS.