Gao Xiang, Zhang Hong
Zhejiang Institute of Modern Physics and Department of Physics, Zhejiang University, Hangzhou 310027, China.
Phys Rev E Stat Nonlin Soft Matter Phys. 2014 Jun;89(6):062928. doi: 10.1103/PhysRevE.89.062928. Epub 2014 Jun 30.
Antitachycardia pacing (ATP) is widely used to terminate tachycardia before it proceeds to lethal fibrillation. The important prerequisite for successful ATP is unpinning of the spirals anchored to the obstacle by a series of stimuli. Here, to understand the mechanism of unpinning spirals by ATP, we propose a theoretical explanation based on a nonlinear eikonal relation and a kinematical model. The theoretical results are quantitatively consistent with the numerical simulations in both weak and high excitabilities.
抗心动过速起搏(ATP)被广泛用于在心动过速发展为致命性颤动之前将其终止。成功进行ATP的重要前提是通过一系列刺激解开锚定在障碍物上的螺旋波。在此,为了理解ATP解开螺旋波的机制,我们基于非线性程函关系和运动学模型提出了一种理论解释。理论结果在低兴奋性和高兴奋性情况下均与数值模拟定量一致。