首页> 外文期刊>The Royal Society Proceedings B: Biological Sciences >Ventricular fibrillation: one spiral or many?
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Ventricular fibrillation: one spiral or many?

机译:心室颤动:一个或多个螺旋?

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Ventricular fibrillation is the major cause of sudden cardiac death, the leading cause of death in the industrialized world; however, the mechanisms for its onset are not well understood. To further understand the dynamics of fibrillation at and near its onset, we compared spatial and temporal variability of mean interactivation intervals in a stable canine model for ventricular fibrillation. Temporal variability was very small, suggesting that the relevant physiological parameters remained constant during our experiments. Spatial variability was usually significantly larger and appeared incompatible with the dynamics of a single, meandering spiral wave. This confirmed recent results that a single spiral wave cannot generate ventricular fibrillation. Thus the onset of fibrillation is a multistage process, with spiral-wave breakdown providing a crucial step in the quasi-periodic route to fibrillation.
机译:心室纤颤是心脏性猝死的主要原因,是工业化世界的主要死亡原因。但是,其发病机理尚不十分清楚。为了进一步了解颤动在发作时及其附近的动力学,我们在稳定的犬心室颤动模型中比较了平均交互间隔的时空变化。时间变异性很小,表明在我们的实验过程中相关的生理参数保持恒定。空间变异性通常明显更大,并且似乎与单个曲折螺旋波的动力学不兼容。这证实了最近的结果,即单个螺旋波不能产生心室纤颤。因此,原纤化的开始是一个多阶段的过程,螺旋波击穿是准周期性原纤化工艺中的关键步骤。

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