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| Content Provider | IEEE Xplore Digital Library |
|---|---|
| Author | Sanchez, C. Krueger, M.W. Seemann, G. Dossel, O. Pueyo, E. Rodriguez, B. |
| Copyright Year | 2012 |
| Description | Author affiliation: Institute of Biomedical Engineering, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany (Krueger, M.W.; Seemann, G.; Dossel, O.) || Computational Biology Group, Oxford University Department of Computer Science, Oxford, UK (Rodriguez, B.) || Communications Technology Group, I3A, University of Zaragoza, Zaragoza, Spain (Sanchez, C.) || Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine, (CIBER-BBN), Spain (Pueyo, E.) |
| Abstract | Atrial fibrillation (AF) is the most common cardiac arrhythmia, and is mainly sustained by reentrant circuits and rapid ectopic activity. In the present study, we performed computer simulations using a 3D human atrial model including fibre orientation, electrophysiological heterogeneities and tissue anisotropy. Membrane kinetics were described as in the human atrial action potential model by Maleckar et al., including AF-induced ionic remodeling. The impact of ionic changes on reentrant activity was investigated by characterizing arrhythmia stability, rotor dynamics and dominant frequency (DF). Our simulations show that reentrant circuits tend to organize around the pulmonary veins and the right atrial appendage. Simulated IK1 and INa blocks lead to slower DF in the whole atria, expanded wave meandering and reduction of secondary wavelets. INaK block slightly reduces DF and does not notably change the propagation pattern. Regularity and coupling indices of electrograms are usually higher in the right atrium than in the left atrium, entailing a higher likelihood of arrhythmia generation in the latter, as occurs in AF patients. |
| Starting Page | 137 |
| Ending Page | 140 |
| File Size | 677517 |
| Page Count | 4 |
| File Format | |
| ISBN | 9781467320764 |
| ISSN | 2325887X |
| e-ISBN | 9781467320771 |
| Language | English |
| Publisher | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Publisher Date | 2012-09-09 |
| Publisher Place | Poland |
| Access Restriction | Subscribed |
| Rights Holder | Creative Commons Attribution License 2.5 (CCAL) |
| Subject Keyword | Rotors Humans Computational modeling Solid modeling Organizations Integrated circuit modeling Couplings |
| Content Type | Text |
| Resource Type | Article |
| Subject | Computer Science Cardiology and Cardiovascular Medicine |
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