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Critical role of inhomogeneities in pacing termination of cardiac reentry

Sinha, Sitabhra and Stein, Kenneth M and Christini, David J (2002) Critical role of inhomogeneities in pacing termination of cardiac reentry. In: Chaos, 12 (3). pp. 893-902.


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Reentry around nonconducting ventricular scar tissue, a cause of lethal arrhythmias, is typically treated by rapid electrical stimulation from an implantable cardioverter defibrillator. However, the dynamical mechanisms of termination (success and failure) are poorly understood. To elucidate such mechanisms, we study the dynamics of pacing in one- and two-dimensional models of anatomical reentry. In a crucial realistic difference from previous studies of such systems, we have placed the pacing site away from the reentry circuit. Our model-independent results suggest that with such off-circuit pacing, the existence of inhomogeneity in the reentry circuit is essential for successful termination of tachycardia under certain conditions. Considering the critical role of such inhomogeneities may lead to more effective pacing algorithms.

Item Type: Journal Article
Publication: Chaos
Publisher: American Institute of Physics
Additional Information: Copyright for this article belongs to American Institute of Physics (AIP).
Department/Centre: Division of Physical & Mathematical Sciences > Physics
Date Deposited: 07 Feb 2005
Last Modified: 19 Sep 2010 04:18
URI: http://eprints.iisc.ac.in/id/eprint/2736

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