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(Circulation. 1999;100:87-95.)
© 1999 American Heart Association, Inc.


Basic Science Reports

Promotion of Atrial Fibrillation by Heart Failure in Dogs

Atrial Remodeling of a Different Sort

Danshi Li, MD, PhD; Samir Fareh, MD; Tack Ki Leung, MD; Stanley Nattel, MD

From the Research Center (D.L., S.F., S.N.), Department of Medicine (D.L., S.N.), and Department of Pathology (T.K.L.), Montreal Heart Institute and University of Montreal, and the Department of Pharmacology and Therapeutics (S.N.), McGill University, Montreal, Quebec, Canada.

Correspondence to Stanley Nattel, MD, Research Center, Montreal Heart Institute, 5000 Belanger St E, Montreal, Quebec H1T 1C8, Canada. E-mail nattel{at}icm.umontreal.ca

Background—Studies of atrial fibrillation (AF) due to atrial tachycardia have provided insights into the remodeling mechanisms by which "AF begets AF" but have not elucidated the substrate that initially supports AF before remodeling occurs. We studied the effects of congestive heart failure (CHF), an entity strongly associated with clinical AF, on atrial electrophysiology in the dog and compared the results with those in dogs subjected to rapid atrial pacing (RAP; 400 bpm) with a controlled ventricular rate (AV block plus ventricular pacemaker at 80 bpm).

Methods and Results—CHF induced by 5 weeks of rapid ventricular pacing (220 to 240 bpm) increased the duration of AF induced by burst pacing (from 8±4 seconds in control dogs to 535±82 seconds; P<0.01), similar to the effect of 1 week of RAP (713±300 seconds). In contrast to RAP, CHF did not alter atrial refractory period, refractoriness heterogeneity, or conduction velocity at a cycle length of 360 ms; however, CHF dogs had a substantial increase in the heterogeneity of conduction during atrial pacing (heterogeneity index in CHF dogs, 2.76±0.16 versus 1.46±0.10 for control and 1.51±0.06 for RAP dogs; P<0.01) owing to discrete regions of slow conduction. Histological examination revealed extensive interstitial fibrosis (connective tissue occupying 12.8±1.9% of the cross-sectional area) in CHF dogs compared with control (0.8±0.3%) and RAP (0.9±0.2%) dogs.

Conclusions—Experimental CHF strongly promotes the induction of sustained AF by causing interstitial fibrosis that interferes with local conduction. The substrates of AF in CHF are very different from those of atrial tachycardia–related AF, with important potential implications for understanding, treating, and preventing AF related to CHF.


Key Words: arrhythmia • antiarrhythmia agents • conduction • remodeling • heart failure • electrocardiology




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J. M. Guerra, T. H. Everett IV, K. W. Lee, E. Wilson, and J. E. Olgin
Effects of the Gap Junction Modifier Rotigaptide (ZP123) on Atrial Conduction and Vulnerability to Atrial Fibrillation
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U. C. Hoppe, J. M. Casares, H. Eiskjaer, A. Hagemann, J. G.F. Cleland, N. Freemantle, and E. Erdmann
Effect of Cardiac Resynchronization on the Incidence of Atrial Fibrillation in Patients With Severe Heart Failure
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Eur. J. Cardiothorac. Surg.Home page
S.-i. Sakamoto, S. Yamauchi, H. Yamashita, H. Imura, Y. Maruyama, H. Ogasawara, N. Hatori, and K. Shimizu
Intraoperative mapping of the right atrial free wall during sinus rhythm: variety of activation patterns and incidence of postoperative atrial fibrillation
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Eur Heart JHome page
Y. Miyasaka, M. E. Barnes, B. J. Gersh, S. S. Cha, K. R. Bailey, W. Abhayaratna, J. B. Seward, T. Iwasaka, and T. S.M. Tsang
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Eur. Heart J., April 2, 2006; 27(8): 936 - 941.
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P Kies, C Leclercq, G B Bleeker, C Crocq, S G Molhoek, C Poulain, L van Erven, M Bootsma, K Zeppenfeld, E E van der Wall, et al.
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A. A. Alsaileek, M. Osranek, K. Fatema, R. B. McCully, T. S. Tsang, and J. B. Seward
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M. Osranek and J. B. Seward
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Eur. Heart J., March 2, 2006; 27(6): 756 - 756.
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J. R. Ehrlich, S. H. Hohnloser, and S. Nattel
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Eur. Heart J., March 1, 2006; 27(5): 512 - 518.
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H.-R. Neuberger, U. Schotten, Y. Blaauw, D. Vollmann, S. Eijsbouts, A. van Hunnik, and M. Allessie
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M. Osranek, F. Bursi, K. R. Bailey, B. R. Grossardt, R. D. Brown Jr, S. L. Kopecky, T. S. Tsang, and J. B. Seward
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P. Milliez, N. DeAngelis, C. Rucker-Martin, A. Leenhardt, E. Vicaut, E. Robidel, P. Beaufils, C. Delcayre, and S. N. Hatem
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J CARDIOVASC PHARMACOL THERHome page
G. V. Naccarelli
Antiadrenergic Therapy in the Control of Atrial Fibrillation
Journal of Cardiovascular Pharmacology and Therapeutics, October 1, 2005; 10(4_suppl): S33 - S43.
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Am. J. Physiol. Heart Circ. Physiol.Home page
S. Saba, A. M. Janczewski, L. C. Baker, V. Shusterman, E. C. Gursoy, A. M. Feldman, G. Salama, C. F. McTiernan, and B. London
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T. H. Everett IV, E. E. Wilson, S. Foreman, and J. E. Olgin
Mechanisms of Ventricular Fibrillation in Canine Models of Congestive Heart Failure and Ischemia Assessed by In Vivo Noncontact Mapping
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R. Zou, J. Kneller, L. J. Leon, and S. Nattel
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W. Anne, R. Willems, T. Roskams, P. Sergeant, P. Herijgers, P. Holemans, H. Ector, and H. Heidbuchel
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J. S. Healey, A. Baranchuk, E. Crystal, C. A. Morillo, M. Garfinkle, S. Yusuf, and S. J. Connolly
Prevention of Atrial Fibrillation With Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers: A Meta-Analysis
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B. J. Scherlag, W. Yamanashi, U. Patel, R. Lazzara, and W. M. Jackman
Autonomically Induced Conversion of Pulmonary Vein Focal Firing Into Atrial Fibrillation
J. Am. Coll. Cardiol., June 7, 2005; 45(11): 1878 - 1886.
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J. Kneller*, J. Kalifa*, R. Zou, A. V. Zaitsev, M. Warren, O. Berenfeld, E. J. Vigmond, L. J. Leon, S. Nattel, and J. Jalife
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Circ. Res., March 18, 2005; 96(5): e35 - e47.
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S. Geidel, J. Ostermeyer, M. Lass, M. Betzold, A. Duong, F. Jensen, S. Boczor, and K.-H. Kuck
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A. Verma, O. M. Wazni, N. F. Marrouche, D. O. Martin, F. Kilicaslan, S. Minor, R. A. Schweikert, W. Saliba, J. Cummings, J. D. Burkhardt, et al.
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A. M. Pritchett, D. W. Mahoney, S. J. Jacobsen, R. J. Rodeheffer, B. L. Karon, and M. M. Redfield
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