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Published byLeonard Walton Modified over 5 years ago
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Demand dynamic cardiomyoplasty: mechanograms prove incomplete transformation of the rested latissimus dorsi Ugo Carraro, MD, Mario Barbiero, MD, Giorgio Docali, Angelo Cotogni, MD, Giorgio Rigatelli, MD, Dino Casarotto, MD, Claudio Muneretto, MD The Annals of Thoracic Surgery Volume 70, Issue 1, Pages (July 2000) DOI: /S (00)
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Fig 1 Mechanogram by polygraph. Burst of four pulses. (A) 43 Hz. (B) 18 Hz. The Annals of Thoracic Surgery , 67-73DOI: ( /S (00) )
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Fig 2 High-resolution examination of the latissimus dorsi–heart synchronization. Mechanogram of latissimus dorsi wrap contraction is obtained by combined polygraph and M-mode echocardiography. The Annals of Thoracic Surgery , 67-73DOI: ( /S (00) )
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Fig 3 High-resolution examination of the latissimus dorsi–heart synchronization. Mechanogram is viewed simultaneously with echo-Doppler measurements of aortic outflow. (A) The mechanogram of a lightly conditioned latissimus dorsi wrap stimulated with four impulses delivered at 23-ms intervals (43 Hz) is well included in the aortic outflow period. (B) After 4 years of standard stimulation, the mechanogram lasts longer than the aortic outflow when a fully transformed LD wrap is stimulated with six impulses delivered at 31-ms intervals (32 Hz). The Annals of Thoracic Surgery , 67-73DOI: ( /S (00) )
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Fig 4 Holter study to determine the average heart rate during sleeping hours. (A) An easy-to-set threshold. (B) A problematic case in which circadian changes are stabilized by pharmacological intervention on heart rate. The Annals of Thoracic Surgery , 67-73DOI: ( /S (00) )
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Fig 5 Tetanic fusion frequency analysis of latissimus dorsi wrap. Stimulation at intervals. (A) 50 ms, 20 Hz. (B) 75 ms, 13 Hz. (C) 150 ms, 7 Hz (D to F) 200 ms, 5 Hz. (A to D) Six-month light stimulation, (E and F) Long-term standard stimulation. The Annals of Thoracic Surgery , 67-73DOI: ( /S (00) )
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