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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Canadian Journal of ...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Canadian Journal of Cardiology
Article . 2011 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Arrhythmogenic Consequences of Action Potential Duration Gradients in the Atria

Authors: Marc-Etienne, Ridler; Mike, Lee; David, McQueen; Charles, Peskin; Edward, Vigmond;

Arrhythmogenic Consequences of Action Potential Duration Gradients in the Atria

Abstract

Atrial action potential duration (APD) has been shown to decrease with increasing distance from the sinoatrial node in several species, including humans. This gradient has been postulated to be cardioprotective by reducing repolarization gradients.This study tests the effect of the APD gradient on reentry initiation and characteristics.This study used a geometrically accurate atrial computer model to examine arrhythmogenic consequences of an APD gradient on reentry initiation by ectopic beats applied at several locations. As well, dominant frequency maps of any ensuing reentries were analyzed to determine how APD gradients affected rotor behaviour.When the APD gradient was increased, anatomic reentry that used the coronary sinus as a critical pathway was prevented, but initiation of functional reentry was unaffected. If a rotor did form, APD gradients led to more disorganized behaviour. For rotors circulating around the pulmonary veins, discrete interatrial coupling accounted for left atrium-right atrium frequency gradients, irrespective of an APD gradient.Gradients are protective against anatomic reentry but also increase the complexity of arrhythmias that arise.

Keywords

Signal Processing, Computer-Assisted, Vagus Nerve, Acetylcholine, Electric Stimulation, Electrocardiography, Dogs, Heart Rate, Risk Factors, Animals, Tachycardia, Atrioventricular Nodal Reentry, Computer Simulation, Atrial Premature Complexes, Heart Atria, Sinoatrial Node

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
20
Average
Top 10%
Top 10%
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