Imaging of Ventricular Fibrillation and Defibrillation: The Virtual Electrode Hypothesis.

Abstract:

:Ventricular fibrillation is the major underlying cause of sudden cardiac death. Understanding the complex activation patterns that give rise to ventricular fibrillation requires high resolution mapping of localized activation. The use of multi-electrode mapping unraveled re-entrant activation patterns that underlie ventricular fibrillation. However, optical mapping contributed critically to understanding the mechanism of defibrillation, where multi-electrode recordings could not measure activation patterns during and immediately after a shock. In addition, optical mapping visualizes the virtual electrodes that are generated during stimulation and defibrillation pulses, which contributed to the formulation of the virtual electrode hypothesis. The generation of virtual electrode induced phase singularities during defibrillation is arrhythmogenic and may lead to the induction of fibrillation subsequent to defibrillation. Defibrillating with low energy may circumvent this problem. Therefore, the current challenge is to use the knowledge provided by optical mapping to develop a low energy approach of defibrillation, which may lead to more successful defibrillation.

journal_name

Adv Exp Med Biol

authors

Boukens BJ,Gutbrod SR,Efimov IR

doi

10.1007/978-3-319-17641-3_14

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

343-65

eissn

0065-2598

issn

2214-8019

journal_volume

859

pub_type

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