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Mechanisms underlying cardiac vulnerability to electric shocks within the three-dimensional volume of the rabbit ventricles

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

The goal of this study is to investigate the contribution of transmural heterogeneities in action potential duration (APD) to the mechanisms of cardiac vulnerability to electric shocks, in an attempt to better understand the mechanisms behind defibrillation failure. This study used a three-dimensional, geometrically accurate finite element bidomain model of the rabbit ventricles. Transmural heterogeneities in ionic currents were incorporated based on experimental data to generate the transmural APD profile recorded in adult rabbits during pacing. Results reveal that the upper limit of vulnerability (ULV) is 30.5V/cm and the vulnerable window (VW) extends from CI=120ms to CI=190ms. Examination of shock-end virtual electrode polarisation and postshock electrical activity reveals that increased dispersion in postshock repolarisation within the LV wall play a key role in the existence of the ULV whereas mechanisms underlying the existence of the VW are determined by shock-end refractoriness in the septum.

Original languageEnglish (US)
Title of host publication2006 Computers in Cardiology, CIC
Pages37-40
Number of pages4
StatePublished - 2006
Externally publishedYes
Event2006 Computers in Cardiology, CIC - Valencia, Spain
Duration: Sep 17 2006Sep 20 2006

Publication series

NameComputers in Cardiology
Volume33
ISSN (Print)0276-6574

Other

Other2006 Computers in Cardiology, CIC
Country/TerritorySpain
CityValencia
Period9/17/069/20/06

ASJC Scopus subject areas

  • Computer Science Applications
  • Cardiology and Cardiovascular Medicine

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