Notes: Introduction: Substrate-based catheter ablation of postmyocardial infarction (post-MI) ventricular tachycardia necessitates electroanatomic definition of the scarred endocardium. We sought to determine whether electrogram criteria during sinus rhythm could identify the location and extent of the myocardial scar by electroanatomic mapping. Methods and Results: A porcine model of healed MI was generated by injecting agarose microspheres into the mid left anterior descending coronary artery. At least 4 weeks post-MI, the animals (n = 24) underwent detailed left ventricular endocardial electroanatomic mapping using a 4-mm-tip catheter (BioSense-Webster, Inc.). Based upon mapping data in normal animals, infarcted tissue was defined as bipolar electrogram amplitude 〈1.5 mV and electrogram duration ≥50 msec. Radiofrequency ablation lesions (2–10 per animal) were placed to tag the endocardial borders of the electroanatomic mapping-defined scar. The area of the scar defined by abnormal voltage amplitude was 25.9 ± 15.4 cm2 (range 6.9–60.5). This area correlated well with that defined as scar by the electrogram duration criteria (26.4 ± 16 cm2) . Of those points remote from the infarct with falsely low voltage amplitude resulting from presumed poor catheter-tissue contact, 94% were correctly identified as normal when using the electrogram duration criteria. Late potentials were observed predominantly along the borders of the infarcted myocardium. The radiofrequency lesions placed to tag the scar borders were located along the scar periphery during gross pathologic examination. Conclusion: During normal sinus rhythm, both bipolar electrogram voltage amplitude and electrogram duration criteria are able to help differentiate normal from scarred myocardial tissue. Using these criteria, a detailed reconstruction of the endocardial scar can be rendered by electroanatomic mapping of the heart. (J Cardiovasc Electrophysiol, Vol. 14, pp. 524-529, May 2003)

Notes: Abstract Historic fire return intervals in Artemesia tridentata (big sagebrush) ecosystems have been altered by livestock grazing, fire suppression, and other land management techniques resulting in ecological changes in these areas. Increases in abundance of woody vegetation may be causing declines in native herbaceous understory species. We examined the effects of prescribed fire on the morphology, abundance, and phenology of nine abundant forb (herbaceous dicot) species used selectively by Centrocercus urophasianus (Sage Grouse). In September 1997 prescribed fire was applied to four of eight randomly assigned 400-ha A.t. wyomingensis (Wyoming big sagebrush) study plots at Hart Mountain National Antelope Refuge, Oregon. Livestock had not grazed experimental plots since 1991. Burning caused morphological changes such as significantly greater numbers of racemes and flowers per raceme in Astragalus malachus (shaggy milkvetch-Legumoideae) (9 in burn vs. 6 in control; 23 in burn vs. 21 in control, respectively). Also, prescribed burning caused greater numbers of flowers in Phlox gracilis (microsteris-Polemoniaceae) (57 vs. 13), greater numbers of umbels and umbelletts in Lomatium nevadense (Nevada desert parsley-Umbellifereae) (4 vs. 2 and 59 vs. 31, respectively), greater numbers of flower heads in Crepis modocensis (Modoc hawksbeard-Compositae) (32 vs. 21), and greater number of flowers/cm3 in Phlox longifolia (longleaf phlox-Polemoniaceae) (0.11 vs. 0.06). Crown volume of Crepis modocensis (7,085 vs. 4,179 cm3) and Astragalus malachus (2,854 vs. 1,761 cm3) plants was greater in burned plots than control plots. However, burning resulted in a smaller crown area of Antennaria dimorpha (low pussytoes-Compositae) (20 vs. 37 cm2). Phenology and time of flowering were also affected by fire. The period of active growth for each species was extended later into the summer in burned plots ( p 〈 0.01). In addition, Crepis modocensis and Lomatium nevadense flowered 12 to 14 days earlier in burned plots. Fire had no effect on frequency, density, and relative abundance of seven of the nine studied species. Fire reduced the frequency and relative abundance of A. dimorpha and Phlox longifolia and reduced the density of A. dimorpha.

Notes: Multisite Ventricular Pacing in Heart Failure. Introduction: We studied the effects on cardiac function of pacing two right and two left ventricular sites in normal and failing hearts with a normal QRS duration. Methods and Results: Hemodynamic parameters were studied in isoflurane-anesthetized dogs with normal hearts and dogs with heart failure induced by rapid ventricular pacing. Unipolar intramyocardial electrodes were placed at the high right atrium and the apex (A) and base (B) of the left (L) and right (R) ventricles (V). Data were collected after pacing for 5 to 20 minutes. In normal dogs, without bundle branch block (BBB), pacing at either the apex or the base of the left ventricle increased cardiac output by approximately 10% compared with right ventricular apex (RVA) pacing with an AV delay of 10 msec. Positive dP/dt increased approximately 10% during four-site left and right ventricular apex and base (LRVAB) pacing compared with RVA pacing. In dogs with heart failure but without BBB, cardiac output increased by 8.5% (P 〈 0.01) during four-site ventricular pacing with AV delays of 0 and 60 msec compared with RVA pacing. Positive dp/dt increased by 23.5% (P 〈 0.001) with an AV delay of 0 msec and 9.6% (P 〈 0.001) with an AV delay of 60 msec during LRVAB pacing compared with RVA pacing. His-bundle pacing was associated with increased cardiac output compared with RVA pacing. Conclusions: We conclude that pacing simultaneously at two right and two left ventricular sites significantly improves cardiac function compared with single RVA pacing, with or without sequential AV synchrony, in dogs with rapid ventricular pacing-induced heart failure and no BBB.