AJP - Heart Calcium Transients and Cell-Sarcomere
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Heart Circ Physiol (January 29, 2004). doi:10.1152/ajpheart.01175.2003
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
286/6/H2078    most recent
01175.2003v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rodriguez, B.
Right arrow Articles by Trayanova, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rodriguez, B.
Right arrow Articles by Trayanova, N.
Submitted on December 11, 2003
Accepted on January 23, 2004

Effect of acute global ischemia on the upper limit of vulnerability: a Simulation Study

Blanca Rodriguez1*, Brock M. Tice1, James C. Eason2, Felipe Aguel3, Jose M. Ferrero Jr4, and Natalia Trayanova1

1 Tulane University, New Orleans, LA, USA
2 Washington and Lee University, Lexington, VA, USA
3 Johns Hopkins University, Baltimore, MA, USA
4 I, Universidad Politecnica de Valencia, Valencia, Spain

* To whom correspondence should be addressed. E-mail: blanca{at}tulane.edu.

The goal of this modeling research is to provide mechanistic insight into the effect of altered membrane kinetics associated with 5 to 12min of acute global ischemia on the upper limit of cardiac vulnerability (ULV) to electric shocks. We simulate electrical activity in a finite-element bidomain model of a 4mm-thick slice through the canine ventricles that incorporates realistic geometry and fiber architecture. Global acute ischemia is represented by changes in membrane dynamics due to hyperkalemia, acidosis, and hypoxia. Two stages of acute ischemia are simulated corresponding to 5-7min (stage 1) and 10-12min (stage 2) following the onset of ischemia. Monophasic shocks are delivered in normoxia and ischemia over a range of coupling intervals, and their outcomes are examined to determine the highest shock strength that resulted in induction of reentrant arrhythmia. Our results demonstrate that acute ischemia stage 1 results in ULV reduction to 0.8A from its normoxic value of 1.4A. In contrast, no arrhythmia is induced regardless of shock strength in acute ischemia stage 2. Investigation of mechanisms underlying this behavior revealed that decreased post-shock refractoriness resulting mainly from 1) ischemic electrophysiological substrate and 2) decrease in the extent of areas positively-polarized by the shock is responsible for the change in ULV during stage 1. In contrast, conduction failure is the main cause for the lack of vulnerability in acute ischemia stage 2. The insight provided by this study furthers our understanding of mechanisms by which acute ischemia-induced changes at the ionic level modulate cardiac vulnerability to electric shocks.







HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 1977 by the American Physiological Society.