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  Mechanistic insights into hypothermic ventricular fibrillation: the role of temperature and tissue size

Filippi, S., Gizzi, A., Cherubini, C., Luther, S., & Fenton, F. H. (2014). Mechanistic insights into hypothermic ventricular fibrillation: the role of temperature and tissue size. Europace, 16, 424-434. doi:10.1093/europace/euu031.

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 Urheber:
Filippi, Simonetta, Autor
Gizzi, Alessio, Autor
Cherubini, Christian, Autor
Luther, Stefan1, Autor           
Fenton, Flavio H.1, Autor           
Affiliations:
1Research Group Biomedical Physics, Max Planck Institute for Dynamics and Self-Organization, Max Planck Society, ou_2063288              

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Schlagwörter: Cardiac dynamics; Thermoelectric model; Spiral breakup; Reaction-diffusion equations
 Zusammenfassung: Hypothermia is well known to be pro-arrhythmic, yet it has beneficial effects as a resuscitation therapy and valuable during intracardiac surgeries. Therefore, we aim to study the mechanisms that induce fibrillation during hypothermia. A better understanding of the complex spatiotemporal dynamics of heart tissue as a function of temperature will be useful in managing the benefits and risks of hypothermia. We perform two-dimensional numerical simulations by using a minimal model of cardiac action potential propagation fine-tuned on experimental measurements. The model includes thermal factors acting on the ionic currents and the gating variables to correctly reproduce experimentally recorded restitution curves at different temperatures. Simulations are implemented using WebGL, which allows long simulations to be performed as they run close to real time. We describe (i) why fibrillation is easier to induce at low temperatures, (ii) that there is a minimum size required for fibrillation that depends on temperature, (iii) why the frequency of fibrillation decreases with decreasing temperature, and (iv) that regional cooling may be an anti-arrhythmic therapy for small tissue sizes however it may be pro-arrhythmic for large tissue sizes. Using a mathematical cardiac cell model, we are able to reproduce experimental observations, quantitative experimental results, and discuss possible mechanisms and implications of electrophysiological changes during hypothermia.

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Sprache(n): eng - English
 Datum: 2014-03
 Publikationsstatus: Erschienen
 Seiten: -
 Ort, Verlag, Ausgabe: -
 Inhaltsverzeichnis: -
 Art der Begutachtung: Expertenbegutachtung
 Identifikatoren: eDoc: 708927
DOI: 10.1093/europace/euu031
 Art des Abschluß: -

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Titel: Europace
Genre der Quelle: Zeitschrift
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Ort, Verlag, Ausgabe: -
Seiten: - Band / Heft: 16 Artikelnummer: - Start- / Endseite: 424 - 434 Identifikator: -