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Published byPolly Williams Modified over 9 years ago
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LV RV Matthew Kay, DSc. Dept of Electrical and Computer Engineering Dept of Pharmacology and Physiology Electrical rotors: a cause of sudden death. Rotors can be studied in great detail using computational models. kaymwk@gmail.com
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Panoramic imaging reveals a dozen short lived rotors during VF in healthy swine hearts. Rotors rarely lasted longer than 1 sec. Stable epicardial rotors do not maintain VF. Continual formation of new rotors is critical for VF maintenance.
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Fast fluorescence imaging reveals successful antitachycardia pacing. Intracellular calcium transients from monolayers of cardiomyocytes show rotor termination by paced-induced rotor drift. Antitachycardia therapy to prevent ventricular fibrillation. Action potentials from the epicardium of small animal hearts (rabbit) show rotor termination by wavefront - wavefront collisions.
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Ischemic tissue is proarrhythmic by two mechanisms: delayed conduction or block and spontaneous (ectopic) activation. When and where might one mechanism dominate? Excised rat/rabbit heart model of local ischemia.
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