Early afterdepolarisations and ventricular arrhythmias in cardiac tissue: a computational study.

Afterdepolarisations are associated with arrhythmias in the heart, but are difficult to study experimentally. In this study we used a simplified computational model of 1D and 2D cardiac ventricular tissue, where we could control the size of the region generating afterdepolarisations, as well as the...

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Publicado en:Medical & Biological Engineering & Computing Vol. 47; no. 3; pp. 291 - 301
Autores principales: Scarle S, Clayton RH, Scarle, Simon, Clayton, Richard H
Formato: research Journal Article
Publicado: Springer Nature Mar2009
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Early afterdepolarisations and ventricular arrhythmias in cardiac tissue: a computational study.
      aug:
        au:
          Scarle S
          Clayton RH
          Scarle, Simon
          Clayton, Richard H
        affil: Department of Computer Science, University of Sheffield, Regent Court, 211 Portobello Street, Sheffield S14DP, UK
      sug:
        subj:
          Arrhythmia Physiopathology
          Heart Conduction System Physiopathology
          Models, Biological
          Action Potentials Physiology
          Bioinformatics Methods
          Human
          Premature Ventricular Contractions Physiopathology
      ab: Afterdepolarisations are associated with arrhythmias in the heart, but are difficult to study experimentally. In this study we used a simplified computational model of 1D and 2D cardiac ventricular tissue, where we could control the size of the region generating afterdepolarisations, as well as the properties of the afterdepolarisation waveform. Provided the size of the afterdepolarisation region was greater than around 1 mm, propagating extrasystoles were produced in both 1D and 2D. The number of extrasystoles produced depended on the amplitude, period, and duration of the oscillatory EAD waveform. In 2D, re-entry was also initiated for specific combinations of EAD amplitude, period, and duration, with the afterdepolarisation region acting as a common pathway. The main finding from this modelling study is therefore that afterdepolarisations can act as potent sources of propagating extrasystoles, as well as a source of re-entrant activation.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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