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[地松鼠心脏中带有U形细丝的涡旋动力学]

[Dynamics of a vortex with the U-shaped filament in the heart of a ground squirrel].

作者信息

Kukushkin N I, Gorbacheva K N, Sklifas A N

出版信息

Biofizika. 2009 Nov-Dec;54(6):1088-102.

Abstract

The dynamics of an electrical scroll wave with the U-shaped filament with both ends of the filament being "anchored" on the endocardial surface and the dependence of the structure of pseudoECG on the dynamics of the vortex during the development of polymorphic tachysystolia have been studied by applying premature stimuli to the "target phase" with subsequent registration of the spatial and temporal distribution of electrical potential throughout the surface (endocardial and epicardial) of a thin (approximately 1 mm) preparation. It was found that (1) the psedoECG of the polymorphic form during the tachysystolia attack can be observed in the case that the position of the filament ends on the surfaces of the preparation does not practically change from turn to turn (filament ends are "anchored"); (2) the thread of a scroll wave during this attack can twist and untwin (twisted filament), just as it was the case for scroll waves with a straight filament; (3) in the case of pseudoECG of polymorphic form, the twisting and untwining of the filament were stronger (the angle of maximal twisting was 120 degrees and more), and the angle of twisting changed by a substantially greater value from turn to turn as compared with the pseudoECG of monomorphic form; (4) in the case of pseudoECG of polymorphic form, the time interval between the appearance of waves on the surfaces of the preparation (Tepi-endo) was substantially greater and changed to a greater extent from turn to turn of the vortex; and (5) simultaneously with the appearance of pseudoECG of polymorphic form and the onset of changes in the twisting of the scroll and the Tepi-endo interval indicated in (2-4), significant changes in the patterns of coverage of the surface by excitation occurred. Based on the results obtained, an explanation of the reasons for the appearance of excitation breakdown patterns on the surface of the myocardium was proposed, which differs from the traditional viewpoint. These patterns may be the result of reflection on myocardial surfaces of the activity of not different simultaneously occurring sources of initiation of excitation but of a single three-dimensional vortex whose filament twists when passing through the thickness of the myocardium and can closely approach one or the other surface.

摘要

通过对“目标相位”施加过早刺激,并随后记录薄(约1毫米)标本整个表面(心内膜和心外膜)的电位时空分布,研究了细丝两端“固定”在心内膜表面的U形细丝电涡旋波的动力学,以及多形性心动过速发作期间伪心电图结构对涡旋动力学的依赖性。研究发现:(1)在心动过速发作期间,当细丝两端在标本表面的位置实际上逐圈基本不变(细丝两端“固定”)时,可观察到多形性形式的伪心电图;(2)在此发作期间,涡旋波的细丝可以像直细丝的涡旋波那样扭转和解缠(扭曲细丝);(3)在多形性形式的伪心电图情况下,细丝的扭转和解缠更强(最大扭转角度为120度及以上),与单形性形式的伪心电图相比,扭转角度逐圈变化的值更大;(4)在多形性形式的伪心电图情况下,标本表面出现波之间的时间间隔(Tepi-endo)明显更大,并且随着涡旋的逐圈变化而变化的程度更大;(5)与多形性形式的伪心电图出现以及(2-4)中所述的涡旋扭转和Tepi-endo间隔变化开始同时,兴奋覆盖表面的模式发生了显著变化。基于获得的结果,提出了与传统观点不同的对心肌表面兴奋破裂模式出现原因的解释。这些模式可能是心肌表面反射的结果,不是不同同时发生的兴奋起始源的活动,而是单个三维涡旋的活动,其细丝在穿过心肌厚度时扭转,并且可以非常接近一个或另一个表面。

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