Computer-simulated alternative modes of U-wave genesis.

OBJECTIVE: Several hypotheses for the origin of the U wave in electrocardiograms have been proposed. We have set out to explore and test alternative modes for U-wave genesis via computer simulations. METHODS AND RESULTS: A spatial model of a left ventricle has been constructed from 12 layers compose...

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Publicado en:Journal of Cardiovascular Electrophysiology Vol. 19; no. 1; pp. 84 - 90
Autores principales: Depolli M, Avbelj V, Trobec R
Formato: research Journal Article
Publicado: Wiley-Blackwell Jan2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2008
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1540-8167.2007.00978.x
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        atl: Computer-simulated alternative modes of U-wave genesis.
      aug:
        au:
          Depolli M
          Avbelj V
          Trobec R
        affil: Department of Communication Systems, Jozef Stefan Institute, Ljubljana, Slovenia. matjaz.depolli@ijs.si
      sug:
        subj:
          Action Potentials Physiology
          Cell Physiology
          Electrocardiography Methods
          Heart Conduction System Physiology
          Heart Ventricle Physiology
          Models, Biological
          Animals
          Computer Simulation
          Animal Studies
      ab: OBJECTIVE: Several hypotheses for the origin of the U wave in electrocardiograms have been proposed. We have set out to explore and test alternative modes for U-wave genesis via computer simulations. METHODS AND RESULTS: A spatial model of a left ventricle has been constructed from 12 layers composed of cubic cells. Each cell is assigned its own time-dependent action potential with its own contribution to the electrical potential at arbitrary points where ECGs are measured. Simulated ECGs show that U waves can be generated using various combinations of action potentials (APs) across the different layers of the ventricular wall. We demonstrate a new mode of U-wave genesis, even with small differences in the repolarization. CONCLUSION: The U wave can be generated in the presence of strong intercellular coupling. Myocardial layers with prolonged action potentials, like M cells, are not necessarily needed for U-wave genesis.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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