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不稳定本征模是引发心律失常的可能原因。

Unstable eigenmodes are possible drivers for cardiac arrhythmias.

机构信息

Simula Research Laboratory, Centre for Biomedical Computing, PO Box 134, Lysaker 1325, Norway.

出版信息

J R Soc Interface. 2011 Aug 7;8(61):1212-6. doi: 10.1098/rsif.2011.0152. Epub 2011 May 13.

DOI:10.1098/rsif.2011.0152
PMID:21571942
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3119886/
Abstract

The well-organized contraction of each heartbeat is enabled by an electrical wave traversing and exciting the myocardium in a regular manner. Perturbations to this wave, referred to as arrhythmias, can lead to lethal fibrillation if not treated within minutes. One manner in which arrhythmias originate is an ill-fated interaction of the regular electrical signal controlling the heartbeat, the sinus wave, with an ectopic stimulus. It is not fully understood how and when ectopic waves are generated. Based on mathematical models, we show that ectopic beats can be characterized in terms of unstable eigenmodes of the resting state.

摘要

有规律的电脉冲波穿过并以规则的方式刺激心肌,从而使每次心跳都能有序收缩。如果不对这种电脉冲波(即心律失常)加以干预,它可能在数分钟内引发致命的纤维性颤动。心律失常的一个成因是,控制心跳的窦性电信号与异位刺激之间不幸相互作用。目前人们并不完全了解异位波是如何以及何时产生的。基于数学模型,我们发现可以用静息状态下不稳定的本征模式来描述异位搏动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c437/3119886/409dbec974f2/rsif20110152-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c437/3119886/7b4044bd3dea/rsif20110152-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c437/3119886/409dbec974f2/rsif20110152-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c437/3119886/7b4044bd3dea/rsif20110152-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c437/3119886/409dbec974f2/rsif20110152-g2.jpg

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本文引用的文献

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The mathematical formulation of the problem of conduction of impulses in a network of connected excitable elements, specifically in cardiac muscle.关于在相互连接的可兴奋元件网络中,特别是在心肌中冲动传导问题的数学表述。
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Melanocyte-like cells in the heart and pulmonary veins contribute to atrial arrhythmia triggers.
心脏和肺静脉中的黑素细胞样细胞会引发心房心律失常。
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Electrotonic coupling between human atrial myocytes and fibroblasts alters myocyte excitability and repolarization.人心房肌细胞与成纤维细胞间的电偶联改变了心肌细胞的兴奋性和复极化。
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K+ current changes account for the rate dependence of the action potential in the human atrial myocyte.钾离子电流变化决定了人类心房肌细胞动作电位的频率依赖性。
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