THE CONDUCTION SYSTEM OF THE SWINE HEART

被引:38
作者
BHARATI, S
LEVINE, M
HUANG, SKS
HANDLER, B
PARR, GVS
BAUERNFEIND, R
LEV, M
机构
[1] CHRIST HOSP, HEART INST CHILDREN, CTR CONGENITAL HEART & CONDUCT SYST, OAK LAWN, IL USA
[2] RUSH MED COLL, DEPT PATHOL, CHICAGO, IL 60612 USA
[3] MED COLL OHIO, DEPT PEDIAT, TOLEDO, OH 43699 USA
[4] UNIV MASSACHUSETTS, MED CTR, WORCESTER, MA 01605 USA
关键词
REGIONAL MYOCARDIAL ISCHEMIA; CORONARY-ARTERY OCCLUSION; PORCINE HEART; TIME COURSE; PIG HEART; MECHANISM; STRESS; NERVES;
D O I
10.1378/chest.100.1.207
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Although the pig has been used as an experimental model for ischemic heart disease and sudden death, relatively little is known about the anatomy of the conduction system (CS) of this animal. We attempted to correlate electrophysiologic and anatomic differences between the pig and human CS. Invasive electrophysiologic studies were performed in five healthy anesthetized pigs. In contrast to the adult human, the pig has sinus tachycardia, shortened PR and H-V intervals, and a relatively short sinoatrial conduction time. Compared with the human CS, serial sections of the CS of pigs hearts showed the following differences: (1) the atrioventricular node is located more to the right of the summit of the ventricular septum; (2) the penetrating bundle is very short, and the bifurcation of the bundle into bundle branches occurs more proximally; (3) there is more connective tissue and less elastic tissue; and (4) there is a copious amount of nerve fibers (about 50 percent throughout the CS). The presence of the abundant neural tissue implies that there is an important neurogenic component to conduction in the pig. Because of the above differences from the human, the pig should be used with caution as an experimental model in ischemic heart disease and sudden death where arrhythmias are studied.
引用
收藏
页码:207 / 212
页数:6
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