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  4. Optimizing Local Capture of Atrial Fibrillation by Rapid Pacing: Study of the Influence of Tissue Dynamics
 
research article

Optimizing Local Capture of Atrial Fibrillation by Rapid Pacing: Study of the Influence of Tissue Dynamics

Uldry, Laurent  
•
Virag, Nathalie
•
Jacquemet, Vincent
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2010
Annals Of Biomedical Engineering

While successful termination by pacing of organized atrial tachycardias has been observed in patients, rapid pacing of AF can induce a local capture of the atrial tissue but in general no termination. The purpose of this study was to perform a systematic evaluation of the ability to capture AF by rapid pacing in a biophysical model of the atria with different dynamics in terms of conduction velocity (CV) and action potential duration (APD). Rapid pacing was applied during 30 s at five locations on the atria, for pacing cycle lengths in the range 60-110% of the mean AF cycle length (AFCL(mean)). Local AF capture could be achieved using rapid pacing at pacing sites located distal to major anatomical obstacles. Optimal pacing cycle lengths were found in the range 74-80% AFCL(mean) (capture window width: 14.6 +/- A 3% AFCL(mean)). An increase/decrease in CV or APD led to a significant shrinking/stretching of the capture window. Capture did not depend on AFCL, but did depend on the atrial substrate as characterized by an estimate of its wavelength, a better capture being achieved at shorter wavelengths. This model-based study suggests that a proper selection of the pacing site and cycle length can influence local capture results and that atrial tissue properties (CV and APD) are determinants of the response to rapid pacing.

  • Details
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Type
research article
DOI
10.1007/s10439-010-0122-3
Web of Science ID

WOS:000284062200010

Author(s)
Uldry, Laurent  
Virag, Nathalie
Jacquemet, Vincent
Vesin, Jean-Marc  
Kappenberger, Lukas
Date Issued

2010

Publisher

Springer Verlag

Published in
Annals Of Biomedical Engineering
Volume

38

Start page

3664

End page

3673

Subjects

Atrial fibrillation

•

Pacing

•

Modeling

•

Wavelength

•

Capture

•

Action-Potential Duration

•

Computer-Model

•

Regional Entrainment

•

Biophysical Model

•

Arrhythmias

•

Prevention

•

Tachyarrhythmia

•

Repolarization

•

Reduction

•

Efficacy

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
SCI-STI-JMV  
Available on Infoscience
January 10, 2012
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/76486
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