In vivo records of single fibre action potentials (SFAPs) have always been obtained at unknown distance from the active muscle fibre. A new experimental method has been developed enabling the derivation of the recording distance in animal experiments. A single fibre is stimulated with an intracellular micropipette electrode. The same electrode is used thereafter for labelling with an auto-fluorescent dye, Lucifer Yellow. In this method there is no use of chemical fixation. The tissue structure is kept as well as possible. In cross-sections the fluorescent fibre is seen and its position is quantitized with respect to the tip of one or more recording wire electrodes. Morphometric data, such as the recording distance and the fibre cross-sectional area, are used for the interpretation of parameters of the SFAPs (peak-peak amplitude, time between the first positive and negative peaks). The present results show that within 300 microns recording distance is not as dominant for the SFAP shape as expected. The method offers also a direct check of the relation between the muscle fibre; diameter and the conduction velocity of the action potential. In the present small set of data there is no simple linear relationship.
Automatic capture detection systems are currently available in several cardiac pacing devices. All current systems use low-polarization electrodes and no beat to beat detection system is available for all types of electrodes. In addition the success ratio for currently available systems is not always 100%. Failure to detect capture reliably is often related to the behaviour of the electrode-tissue interface under different circumstances. Pacemaker electrodes can be considered electrochemical cells with complicated characteristics depending on time, temperature and electrical charge. This electrochemical cell is disturbed when a charge is transferred across the electrode-tissue interface during pacing. Several measures can be taken in order to minimise this disturbance or pace polarization artefact (PPA) including the use of high active surface area electrodes and application of tri-phasic pacing pulses. Another factor influencing detection of evoked potentials is the input circuit of the pacemaker affecting the PPA and the evoked response. Positive PPAs can be falsely interpreted as evoked potentials due to the undershoot of the second order filters applied in modern cardiac pacemakers. This paper explains the behaviour of the interface between the electrode and the cardiac tissue in combination with the pacemaker output circuits and input amplifiers under different circumstances.
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