
pmid: 15363669
We describe how Art Winfree's ideas about phase singularities can be used to understand the response of cardiac tissue with a random preexisting pattern of reentrant waves (fibrillation) to a large brief current stimulus. This discussion is organized around spatial dimension, beginning with a discussion of reentry on a periodic ring, followed by reentry in a two-dimensional planar domain (spiral waves), and ending with consideration of three-dimensional reentrant patterns (scroll waves). In all cases, we show how reentrant activity is changed by the application of a shock, describing conditions under which defibrillation is successful or not. Using topological arguments we draw the general conclusion that with a generic placement of stimulating electrodes, large-scale virtual electrodes do not give an adequate explanation for the mechanism of defibrillation.
reentry, Electric Countershock, Models, Cardiovascular, defibrillation, Electrophysiology, spiral wave, phase singularity, Medical applications (general), Heart Conduction System, Connections of general topology with other structures, applications, Humans, scroll wave
reentry, Electric Countershock, Models, Cardiovascular, defibrillation, Electrophysiology, spiral wave, phase singularity, Medical applications (general), Heart Conduction System, Connections of general topology with other structures, applications, Humans, scroll wave
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