Supresión, captura y modulación de la parasistolia ventricular.

Translated title of the contribution: Suppression, capture and modulation of ventricular parasystole

A. Castellanos, F. Moleiro, I. Mendoza

Research output: Contribution to journalArticle

Abstract

Few clinical studies have dealth with annihilation, entrainment and modulation of ventricular parasystolic rhythm. Parasystolic modulation was diagnosed in 9 nonmedicated patients because single, nonparasystolic beats falling during the initial 59% of the cycle prolonged the parasystolic cycle length (by 12 to 37.5%), whereas those that fell later in the cycle shortened it (by 9 to 25%). Plotting this prolongation or shortening as a function of the temporal position of the nonparasystolic beats in the cycle, yielded biphasic response curves. In two patients, episodes of concealed one-to-one entrainment were initiated by late nonparasystolic (sinus) beats and, later on, terminated by early ventricular extrasystoles. In 2 other patients, (and in 2 separate occasions) nonparasystolic beats, falling in part of the cycle located in between those of maximal delay and acceleration, produced pacemaker annihilation (cessation of automatic activity for the remaining monitoring time). Parasystolic annihilation and concealed entrainment may be one of the causes that can explain the large, spontaneous, day-to-day variability in the incidence of ectopic ventricular beats reported in Holter recordings.

Translated title of the contributionSuppression, capture and modulation of ventricular parasystole
Original languageSpanish
Pages (from-to)15-23
Number of pages9
JournalArchivos del Instituto de Cardiologia de Mexico
Volume55
Issue number1
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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