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Clinical Medicine Insights: Cardiology
Article . 2016 . Peer-reviewed
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Clinical Medicine Insights: Cardiology
Article
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PubMed Central
Other literature type . 2016
Data sources: PubMed Central
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The Major Role of IK1 in Mechanisms of Rotor Drift in the Atria: A Computational Study

Authors: Omer Berenfeld;

The Major Role of IK1 in Mechanisms of Rotor Drift in the Atria: A Computational Study

Abstract

Maintenance of paroxysmal atrial fibrillation (AF) by fast rotors in the left atrium (LA) or at the pulmonary veins (PVs) is not fully understood. This review describes the role of the heterogeneous distribution of transmembrane currents in the PVs and LA junction (PV-LAJ) in the localization of rotors in the PVs. Experimentally observed heterogeneities in IK1, IKs, IKr, Ito, and ICaL in the PV-LAJ were incorporated into models of human atrial kinetics to simulate various conditions and investigate rotor drifting mechanisms. Spatial gradients in the currents resulted in shorter action potential duration, less negative minimum diastolic potential, slower upstroke and conduction velocity for rotors in the PV region than in the LA. Rotors under such conditions drifted toward the PV and stabilized at the less excitable region. Our simulations suggest that IK1 heterogeneity is dominant in determining the drift direction through its impact on the excitability gradient. These results provide a novel framework for understanding the complex dynamics of rotors in AF.

Related Organizations
Keywords

RC666-701, Diseases of the circulatory (Cardiovascular) system, Original Research

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Average
Average
Average
Green
gold