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A hybrid stimulation strategy for suppression of spiral waves in cardiac tissue

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  • Xu, Binbin
  • Jacquir, Sabir
  • Laurent, Gabriel
  • Bilbault, Jean-Marie
  • Binczak, Stéphane

Abstract

Atrial fibrillation (AF) is the most common cardiac arrhythmia whose mechanisms are thought to be mainly due to the self perpetuation of spiral waves (SW). To date, available treatment strategies (antiarrhythmic drugs, radiofrequency ablation of the substrate, electrical cardioversion) to restore and to maintain a normal sinus rhythm have limitations and are associated with AF recurrences. The aim of this study was to assess a way of suppressing SW by applying multifocal electrical stimulations in a simulated cardiac tissue using a 2D FitzHugh–Nagumo model specially convenient for AF investigations. We identified stimulation parameters for successful termination of SW. However, SW reinduction, following the electrical stimuli, leads us to develop a hybrid strategy based on sodium channel modification for the simulated tissue.

Suggested Citation

  • Xu, Binbin & Jacquir, Sabir & Laurent, Gabriel & Bilbault, Jean-Marie & Binczak, Stéphane, 2011. "A hybrid stimulation strategy for suppression of spiral waves in cardiac tissue," Chaos, Solitons & Fractals, Elsevier, vol. 44(8), pages 633-639.
    • Handle: RePEc:eee:chsofr:v:44:y:2011:i:8:p:633-639
    DOI: 10.1016/j.chaos.2011.05.014
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    References listed on IDEAS

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    1. T K Shajahan & Alok Ranjan Nayak & Rahul Pandit, 2009. "Spiral-Wave Turbulence and Its Control in the Presence of Inhomogeneities in Four Mathematical Models of Cardiac Tissue," PLOS ONE, Public Library of Science, vol. 4(3), pages 1-21, March.
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    Cited by:

    1. El-Nabulsi, Rami Ahmad & Anukool, Waranont, 2024. "Spiral waves in fractal dimensions and their elimination in λ − ω systems with less damaging intervention," Chaos, Solitons & Fractals, Elsevier, vol. 178(C).

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