Transmural Differences in Myocardial Contraction in Long-QT Syndrome
Author(s) -
Kristina H. Haugaa,
Jan Amlie,
Knut Erik Berge,
Trond P. Leren,
Otto A. Smiseth,
Thor Edvardsen
Publication year - 2010
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.110.960377
Subject(s) - medicine , asymptomatic , cardiology , contraction (grammar) , long qt syndrome , electrocardiography , heart failure , qt interval
Long-QT syndrome (LQTS) is characterized by prolonged myocardial action potential duration. The longest action potential duration is reported in the endomyocardium and midmyocardium. Prolonged action potential duration in LQTS may cause prolonged cardiac contraction, which can be assessed by strain echocardiography. We hypothesized that myocardial contraction is most prolonged in subendocardial myofibers in LQTS patients and that inhomogeneous transmural contraction is related to the risk of spontaneous arrhythmia.
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