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Fig. 3. PQ maturation defect and QRS prolongation in Tbx5del/+
mice. (A) Schematic representation of electrical impulse propagation through
the mammalian heart correlated with surface ECG and in-vivo electrophysiology
intervals. PQ intervals include impulse propagation throughout the atria and
atrioventricular node (proximal AH interval) and the atrioventricular bundle
and proximal bundle branches (distal HV interval). P-wave duration represents
atrial depolarization. QRS intervals represent ventricular activation, and
include bundle branch and Purkinje conduction. Bundle-branch block causes QRS
prolongation with characteristic ECG wave front morphology. SAN, sinoatrial
node; AVN, atrioventricular node; AVB, atrioventricular bundle; RBB, right
bundle branch; LBB, left bundle branch. (B) Representative ECGs from wild-type
and Tbx5del/+ newborns and adult mice. Note comparable PQ
intervals (atrial plus atrioventricular canal conduction time) in neonatal
wild-type and Tbx5del/+ mice. Adult wild-type mice had
significantly shorter PQ intervals than those of Tbx5del/+
mice. QRS intervals of newborn and adult Tbx5del/+ mice
were longer than in wild-type mice (Table
1). (C) Representative ECG recordings from right precordial leads
(V1) in wild-type and Tbx5del/+ adult mouse. Wild-type
mice had normal QRS complexes. Tbx5del/+ mice had QRS
prolongation with a RSR' wave front pattern indicative of RBB. RBB
occurred in 9 of 11 of adult Tbx5del/+ mice versus 3 of 27
adult wild-type mice (P<0.001).