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Rotors and the Dynamics of Cardiac Fibrillation
Circulation research, 2013-03, Vol.112 (5), p.849-862
[Peer Reviewed Journal]
2013 American Heart Association, Inc. ;ISSN: 0009-7330 ;EISSN: 1524-4571 ;DOI: 10.1161/CIRCRESAHA.111.300158 ;PMID: 23449547
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Title:
Rotors and the Dynamics of Cardiac Fibrillation
Author:
Pandit, Sandeep V
;
Jalife, José
Subjects:
Animals
;
Atrial Fibrillation - physiopathology
;
Atrial Fibrillation - surgery
;
Catheter Ablation
;
Electrophysiologic Techniques, Cardiac
;
Heart Conduction System - physiopathology
;
Humans
;
Models, Animal
;
Ventricular Fibrillation - physiopathology
;
Ventricular Fibrillation - surgery
Is Part Of:
Circulation research, 2013-03, Vol.112 (5), p.849-862
Description:
The objective of this article is to present a broad review of the role of cardiac electric rotors and their accompanying spiral waves in the mechanism of cardiac fibrillation. At the outset, we present a brief historical overview regarding reentry and then discuss the basic concepts and terminologies pertaining to rotors and their initiation. Thereafter, the intrinsic properties of rotors and spiral waves, including phase singularities, wavefront curvature, and dominant frequency maps, are discussed. The implications of rotor dynamics for the spatiotemporal organization of fibrillation, independent of the species being studied, are described next. The knowledge gained regarding the role of cardiac structure in the initiation or maintenance of rotors and the ionic bases of spiral waves in the past 2 decades, as well as the significance for drug therapy, is reviewed subsequently. We conclude by examining recent evidence suggesting that rotors are critical in sustaining both atrial and ventricular fibrillation in the human heart and its implications for treatment with radiofrequency ablation.
Publisher:
United States: American Heart Association, Inc
Language:
English
Identifier:
ISSN: 0009-7330
EISSN: 1524-4571
DOI: 10.1161/CIRCRESAHA.111.300158
PMID: 23449547
Source:
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
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