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人类心房颤动:计算电生理学模型的见解。

Human atrial fibrillation: insights from computational electrophysiological models.

机构信息

Department of Pharmacology, University of California at Davis, Davis, CA 95616-8636, USA.

出版信息

Trends Cardiovasc Med. 2011 Jul;21(5):145-50. doi: 10.1016/j.tcm.2012.04.004.

DOI:10.1016/j.tcm.2012.04.004
PMID:22732550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3384487/
Abstract

Computational electrophysiology has proven useful to investigate the mechanisms of cardiac arrhythmias at various spatial scales, from isolated myocytes to the whole heart. This article reviews how mathematical modeling has aided our understanding of human atrial myocyte electrophysiology to study the contribution of structural and electrical remodeling to human atrial fibrillation. Potential new avenues of investigation and model development are suggested.

摘要

计算电生理学已被证明在从分离的心肌细胞到整个心脏的各种空间尺度上研究心律失常机制是有用的。本文综述了数学建模如何帮助我们理解人心房肌细胞电生理学,以研究结构和电重构对人类心房颤动的贡献。还提出了一些潜在的新的研究和模型开发途径。

相似文献

1
Human atrial fibrillation: insights from computational electrophysiological models.人类心房颤动:计算电生理学模型的见解。
Trends Cardiovasc Med. 2011 Jul;21(5):145-50. doi: 10.1016/j.tcm.2012.04.004.
2
Computational models of atrial cellular electrophysiology and calcium handling, and their role in atrial fibrillation.心房细胞电生理学和钙处理的计算模型及其在心房颤动中的作用。
J Physiol. 2016 Feb 1;594(3):537-53. doi: 10.1113/JP271404. Epub 2015 Dec 28.
3
Mathematical approaches to understanding and imaging atrial fibrillation: significance for mechanisms and management.数学方法在理解和成像心房颤动中的应用:对机制和管理的意义。
Circ Res. 2014 Apr 25;114(9):1516-31. doi: 10.1161/CIRCRESAHA.114.302240.
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Fibrotic Remodeling during Persistent Atrial Fibrillation: In Silico Investigation of the Role of Calcium for Human Atrial Myofibroblast Electrophysiology.持续性心房颤动中的纤维化重塑:钙对人心房成纤维细胞电生理学作用的计算研究。
Cells. 2021 Oct 22;10(11):2852. doi: 10.3390/cells10112852.
5
Effects of electrical and structural remodeling on atrial fibrillation maintenance: a simulation study.电重构和结构重构对心房颤动维持的影响:一项模拟研究。
PLoS Comput Biol. 2012;8(2):e1002390. doi: 10.1371/journal.pcbi.1002390. Epub 2012 Feb 23.
6
Cellular and molecular mechanisms of atrial arrhythmogenesis in patients with paroxysmal atrial fibrillation.阵发性心房颤动患者心房心律失常发生的细胞和分子机制。
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Effects of Persistent Atrial Fibrillation-Induced Electrical Remodeling on Atrial Electro-Mechanics - Insights from a 3D Model of the Human Atria.持续性心房颤动诱导的电重构对心房电机械学的影响——来自人体心房三维模型的见解
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Acute effects of alcohol on cardiac electrophysiology and arrhythmogenesis: Insights from multiscale in silico analyses.酒精对心脏电生理学和心律失常发生的急性影响:多尺度计算分析的见解。
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Dual effects of the small-conductance Ca-activated K current on human atrial electrophysiology and Ca-driven arrhythmogenesis: an in silico study.小电导钙激活钾电流对人心房电生理和钙驱动心律失常发生的双重影响:一项计算机模拟研究。
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引用本文的文献

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Populations of in silico myocytes and tissues reveal synergy of multiatrial-predominant K -current block in atrial fibrillation.计算机模拟心肌细胞和组织群体揭示多灶性主导的 K+电流阻断在心房颤动中的协同作用。
Br J Pharmacol. 2020 Oct;177(19):4497-4515. doi: 10.1111/bph.15198. Epub 2020 Aug 9.
2
Understanding the Beat-to-Beat Variations of P-Waves Morphologies in AF Patients During Sinus Rhythm: A Scoping Review of the Atrial Simulation Studies.理解房颤患者窦性心律时P波形态的逐搏变化:心房模拟研究的范围综述
Front Physiol. 2019 Jun 18;10:742. doi: 10.3389/fphys.2019.00742. eCollection 2019.
3
A calcium transport mechanism for atrial fibrillation in Tbx5-mutant mice.

本文引用的文献

1
Altered Excitation-Contraction Coupling in Human Chronic Atrial Fibrillation.人类慢性心房颤动中兴奋-收缩偶联的改变
J Atr Fibrillation. 2012 Apr 14;4(6):495. doi: 10.4022/jafib.495. eCollection 2012 Apr-May.
2
In silico optimization of atrial fibrillation-selective sodium channel blocker pharmacodynamics.计算机优化心房颤动选择性钠通道阻滞剂药效学。
Biophys J. 2012 Mar 7;102(5):951-60. doi: 10.1016/j.bpj.2012.01.032. Epub 2012 Mar 6.
3
Effects of electrical and structural remodeling on atrial fibrillation maintenance: a simulation study.
Tbx5 突变小鼠心房颤动的钙转运机制。
Elife. 2019 Mar 21;8:e41814. doi: 10.7554/eLife.41814.
4
Computational modeling: What does it tell us about atrial fibrillation therapy?计算模型:它能告诉我们关于房颤治疗的什么信息?
Int J Cardiol. 2019 Jul 15;287:155-161. doi: 10.1016/j.ijcard.2019.01.077. Epub 2019 Jan 25.
5
Distinct Occurrence of Proarrhythmic Afterdepolarizations in Atrial Versus Ventricular Cardiomyocytes: Implications for Translational Research on Atrial Arrhythmia.心房与心室心肌细胞中促心律失常后去极化的不同发生情况:对心房心律失常转化研究的启示
Front Pharmacol. 2018 Aug 21;9:933. doi: 10.3389/fphar.2018.00933. eCollection 2018.
6
Assessment of Efficacy and Safety of I Inhibitors in Chronic Atrial Fibrillation: Role of Kinetics and State-Dependence of Drug Binding.I类抑制剂在慢性心房颤动中的疗效与安全性评估:药物结合动力学及状态依赖性的作用
Front Pharmacol. 2017 Nov 7;8:799. doi: 10.3389/fphar.2017.00799. eCollection 2017.
7
Revealing kinetics and state-dependent binding properties of I-targeting drugs that maximize atrial fibrillation selectivity.揭示靶向 I 通道药物的动力学和状态依赖性结合特性,以最大限度地提高心房颤动选择性。
Chaos. 2017 Sep;27(9):093918. doi: 10.1063/1.5000226.
8
Potassium currents in the heart: functional roles in repolarization, arrhythmia and therapeutics.心脏中的钾电流:在复极化、心律失常及治疗中的功能作用
J Physiol. 2017 Apr 1;595(7):2229-2252. doi: 10.1113/JP272883. Epub 2017 Jan 5.
9
Rabbit-specific computational modelling of ventricular cell electrophysiology: Using populations of models to explore variability in the response to ischemia.兔心室肌细胞电生理的特异性计算模型:利用模型群体探索缺血反应的变异性。
Prog Biophys Mol Biol. 2016 Jul;121(2):169-84. doi: 10.1016/j.pbiomolbio.2016.06.003. Epub 2016 Jun 16.
10
Multi-scale Modeling of the Cardiovascular System: Disease Development, Progression, and Clinical Intervention.心血管系统的多尺度建模:疾病发展、进展及临床干预
Ann Biomed Eng. 2016 Sep;44(9):2642-60. doi: 10.1007/s10439-016-1628-0. Epub 2016 May 2.
电重构和结构重构对心房颤动维持的影响:一项模拟研究。
PLoS Comput Biol. 2012;8(2):e1002390. doi: 10.1371/journal.pcbi.1002390. Epub 2012 Feb 23.
4
The Na+/K+ pump is an important modulator of refractoriness and rotor dynamics in human atrial tissue.钠钾泵是调节人心房组织不应期和转子动力学的重要因素。
Am J Physiol Heart Circ Physiol. 2012 Mar 1;302(5):H1146-59. doi: 10.1152/ajpheart.00668.2011. Epub 2011 Dec 23.
5
The role of fibroblasts in complex fractionated electrograms during persistent/permanent atrial fibrillation: implications for electrogram-based catheter ablation.成纤维细胞在持续性/永久性心房颤动时复杂碎裂电图中的作用:对基于电图的导管消融的影响。
Circ Res. 2012 Jan 20;110(2):275-84. doi: 10.1161/CIRCRESAHA.111.255026. Epub 2011 Dec 15.
6
Human atrial action potential and Ca2+ model: sinus rhythm and chronic atrial fibrillation.人心房动作电位和 Ca2+ 模型:窦性节律和慢性心房颤动。
Circ Res. 2011 Oct 14;109(9):1055-66. doi: 10.1161/CIRCRESAHA.111.253955. Epub 2011 Sep 15.
7
Differential protein kinase C isoform regulation and increased constitutive activity of acetylcholine-regulated potassium channels in atrial remodeling.在心房重构中,差异蛋白激酶 C 同工型调节和乙酰胆碱调节钾通道的组成型活性增加。
Circ Res. 2011 Oct 14;109(9):1031-43. doi: 10.1161/CIRCRESAHA.111.253120. Epub 2011 Sep 8.
8
Transverse tubules are a common feature in large mammalian atrial myocytes including human.横管是包括人类在内的大型哺乳动物心房肌细胞的共同特征。
Am J Physiol Heart Circ Physiol. 2011 Nov;301(5):H1996-2005. doi: 10.1152/ajpheart.00284.2011. Epub 2011 Aug 12.
9
Recent advances in the molecular pathophysiology of atrial fibrillation.心房颤动的分子病理生理学的最新进展。
J Clin Invest. 2011 Aug;121(8):2955-68. doi: 10.1172/JCI46315. Epub 2011 Aug 1.
10
3D virtual human atria: A computational platform for studying clinical atrial fibrillation.三维虚拟人心脏左房:研究临床心房颤动的计算平台。
Prog Biophys Mol Biol. 2011 Oct;107(1):156-68. doi: 10.1016/j.pbiomolbio.2011.06.011. Epub 2011 Jul 7.