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1Department of Biomedical Engineering, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill; 2College of Engineering, North Carolina State University, Raleigh, North Carolina; and 3Cardiac Rhythm Management Laboratory, Department of Biomedical Engineering, School of Engineering, University of Alabama at Birmingham, Birmingham, Alabama
Submitted 24 January 2005 ; accepted in final form 8 May 2005
Biomathematical models and experiments have indicated that passive extracellular conductors influence field stimulation. Because metallic conductors prevent optical mapping under the conductor, we have evaluated a passive translucent indium tin oxide (ITO) thin-film conductor to allow mapping of transmembrane potential (Vm) and stimulatory current under the conductor. A 1-cm ITO disk was patterned photolithographically and positioned between 0.3-cm2 mesh shock electrodes on the ventricular epicardium of isolated perfused rabbit hearts stained with 4-{2-[6-(dibutylamino)-2-naphthylenal]ethenyl}-1-(3-sulfopropyl)-, hydroxide, inner salt (di-4-ANEPPS). For a 1-A, 10-ms shock during the action potential plateau, optical maps from fluorescence collected using emission ratiometry (excitation at 488 nm and emissions at 510570 and >590 nm) indicated that the disk altered Vm by as much as the height of an action potential.
Vm became more positive near the edge of the disk, where the ITO conductance gradient was parallel to applied current, and more negative near the opposite edge, where the gradient was not parallel to current. For diastolic shocks, the disk expedited membrane excitation at the sites of positive
Vm in the heart and in a cardiac model with realistic ITO disk surface and interfacial conductances. Optical maps of ITO transmittance and the model indicated that the disk introduced anodal and cathodal stimulatory current at opposite edges of the disk. Thus ITO allows study of the stimulatory effects of a passive conductor in an electric field.
ratiometric optical mapping; transmembrane potential; transmittance
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