Circulation, Vol 55, 311-317, Copyright © 1977 by American Heart Association
RGG James, JMO Arnold, JD Allen, JF Pantridge and RG Shanks
The minimum current required to cause ventricular fibrillation was
determined by electrical stimulation of the normal or ischemic canine left
ventricle. The threshold for ventricular fibrillation in the normal heart
decreased when the heart rate was rapid. Strong vagal stimulation did not
affect the ventricular fibrillation threshold when the heart rate was
fixed. The fall in the ventricular fibrillation threshold in the presence
of acute myocardial ischemia was greater and more prolonged when the heart
rate was rapid. These findings indicate the importance of the immediate
correction of tachycardia in patients suffering from acute myocardial
infarction.
ARTICLES
The effects of heart rate, myocardial ischemia and vagal stimulation on the threshold for ventricular fibrillation
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