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  4. Simple model for identifying critical regions in atrial fibrillation
 
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Simple model for identifying critical regions in atrial fibrillation
File(s)
PhysRevLett.114.028104.pdf (669.05 KB)
Published version
Author(s)
Christensen, K
Manani, KA
Peters, NS
Type
Journal Article
Abstract
Atrial fibrillation (AF) is the most common abnormal heart rhythm and the single biggest cause of stroke. Ablation, destroying regions of the atria, is applied largely empirically and can be curative but with a disappointing clinical success rate. We design a simple model of activation wave front propagation on an anisotropic structure mimicking the branching network of heart muscle cells. This integration of phenomenological dynamics and pertinent structure shows how AF emerges spontaneously when the transverse cell-to-cell coupling decreases, as occurs with age, beyond a threshold value. We identify critical regions responsible for the initiation and maintenance of AF, the ablation of which terminates AF. The simplicity of the model allows us to calculate analytically the risk of arrhythmia and express the threshold value of transversal cell-to-cell coupling as a function of the model parameters. This threshold value decreases with increasing refractory period by reducing the number of critical regions which can initiate and sustain microreentrant circuits. These biologically testable predictions might inform ablation therapies and arrhythmic risk assessment.
Date Issued
2015-01-16
Date Acceptance
2015-01-16
Citation
Physical Review Letters, 2015, 114 (2)
URI
http://hdl.handle.net/10044/1/24649
DOI
https://www.dx.doi.org/10.1103/PhysRevLett.114.028104
ISSN
0031-9007
Publisher
American Physical Society
Journal / Book Title
Physical Review Letters
Volume
114
Issue
2
Copyright Statement
© 2015 Published by American Physical Society. Published by the American Physical Society under the terms of the Creative Commons Attribution 3.0 License. Further distribution of this work must maintain attribution to the author(s) and the published article’s title, journal citation, and DOI.
License URL
https://creativecommons.org/licenses/by/3.0/
Sponsor
British Heart Foundation
Grant Number
RG/10/11/28457
Subjects
Science & Technology
Physical Sciences
Physics, Multidisciplinary
Physics
EXCITABLE MEDIA
MAJOR MECHANISM
CARDIAC-MUSCLE
SPIRAL WAVES
PROPAGATION
ELECTROPHYSIOLOGY
CONNECTIONS
EXCITATION
CARDIOLOGY
ABLATION
Publication Status
Published
Article Number
028104
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