We have studied the mechanisms whereby a strong electric shock terminates chaotic wave propagation in cardiac tissue (defibrillation). In a generic model of cellular excitable tissue with two variables, we have found two mechanisms: one based on excitation (E), and another based on de-excitation (D)
โฆ LIBER โฆ
Direct Activation and Defibrillation of Cardiac Tissue
โ Scribed by James P. Keener
- Book ID
- 102610559
- Publisher
- Elsevier Science
- Year
- 1996
- Tongue
- English
- Weight
- 467 KB
- Volume
- 178
- Category
- Article
- ISSN
- 0022-5193
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โฆ Synopsis
It is shown that inhomogeneity due to gap junctional resistance allows an excitable cable to be directly activated or defibrillated by the application of a large amplitude point stimulus of short duration. Multiple-scale analysis is used to derive a model equation describing the response of the excitable medium to stimuli, and this equation is analyzed to give quantitative estimates of the direct stimulus threshold and the defibrillation threshold. These estimates are shown to be in good agreement with exprimental findings.
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