A Computer Simulation Study of Anatomy Induced Drift of Spiral Waves in the Human Atrium.

The interaction of spiral waves of excitation with atrial anatomy remains unclear. This simulation study isolates the role of atrial anatomical structures on spiral wave spontaneous drift in the human atrium. We implemented realistic and idealised 3D human atria models to investigate the functional...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 16
Autores principales: Kharche, Sanjay R., Biktasheva, Irina V., Seemann, Gunnar, Zhang, Henggui, Biktashev, Vadim N.
Formato: equations & formulas pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 10/26/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 10/26/2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2015/731386
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        atl: A Computer Simulation Study of Anatomy Induced Drift of Spiral Waves in the Human Atrium.
      aug:
        au:
          Kharche, Sanjay R.
          Biktasheva, Irina V.
          Seemann, Gunnar
          Zhang, Henggui
          Biktashev, Vadim N.
        affil: College of Engineering, Mathematics and Physical Sciences, University of Exeter, Exeter EX4 4QF, UK
      sug:
        subj:
          Heart Atrium Anatomy and Histology
          Computer Simulation
          Human
          Models, Structural
          Correlation Coefficient
      ab: The interaction of spiral waves of excitation with atrial anatomy remains unclear. This simulation study isolates the role of atrial anatomical structures on spiral wave spontaneous drift in the human atrium. We implemented realistic and idealised 3D human atria models to investigate the functional impact of anatomical structures on the long-term (∼40 s) behaviour of spiral waves. The drift of a spiral wave was quantified by tracing its tip trajectory, which was correlated to atrial anatomical features. The interaction of spiral waves with the following idealised geometries was investigated: (a) a wedge-like structure with a continuously varying atrial wall thickness; (b) a ridge-like structure with a sudden change in atrial wall thickness; (c) multiple bridge-like structures consisting of a bridge connected to the atrial wall. Spiral waves drifted from thicker to thinner regions and along ridge-like structures. Breakthrough patterns caused by pectinate muscles (PM) bridges were also observed, albeit infrequently. Apparent anchoring close to PM-atrial wall junctions was observed. These observations were similar in both the realistic and the idealised models. We conclude that spatially altering atrial wall thickness is a significant cause of drift of spiral waves. PM bridges cause breakthrough patterns and induce transient anchoring of spiral waves.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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