Evidence map›Paper›PMID 19251220›Full record

ReviewHeart rhythm2009

Mechanisms of VF maintenance: wandering wavelets, mother rotors, or foci.

Paul B Tabereaux, Derek J Dosdall, Raymond E Ideker

Abstract readReview
In one paragraph

Review in Heart rhythm, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. In vivo mapping of human polymorphic ventricular tachycardia.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  3. Mapping and ablation of ventricular fibrillation substrate.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. The role of the Purkinje network in premature ventricular complex-triggered ventricular fibrillation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2018
    Review
  8. Article
  9. Article
  10. Structural contributions to fibrillatory rotors in a patient-derived computational model of the atria.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2014
    Article
  11. Article
  12. Mechanism of reentry induction by a 9-V battery in rabbit ventricles.American journal of physiology. Heart and circulatory physiology · 2014
    Article
  13. Review
  14. Article
  15. Article
  16. Mechanisms of defibrillation.Annual review of biomedical engineering · 2010
    Review
  17. Article
  18. High defibrillation threshold: the science, signs and solutions.Indian pacing and electrophysiology journal · 2010
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Paul B TabereauxDepartment of Medicine, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama 35294-0019, USA. pault@uab.edu
Derek J Dosdall
Raymond E Ideker

Funding

VENTRICULAR FIBRILLATION AND ITS ALTERATION BY PACINGR01HL066256 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI IDEKER, RAYMOND E. · 2001 to 2010
$3.2M
Mechanisms of Long Duration Fibrillation, Defibrillation and RefibrillationR01HL085370 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI IDEKER, RAYMOND E. · 2007 to 2014
$2.9M
COMPUTER ASSISTED MAPPING OF VENTRICULAR FIBRILLATIONR01HL028429 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI IDEKER, RAYMOND E. · 1985 to 2009
$2.9M
NHLBI NIH HHS HL28429NHLBI NIH HHS HL66256NHLBI NIH HHS HL85370NHLBI NIH HHS R01 HL028429NHLBI NIH HHS R01 HL066256NHLBI NIH HHS R01 HL085370
6 · The paper itself

Abstract

Ventricular fibrillation (VF), despite its declining incidence as a cause of sudden cardiac death, is still a major health problem. The underlying mechanisms for the maintenance of VF are still disputed. Studies suggest that VF is unlikely one static mechanism but rather a dynamic process of electrical derangement that changes with duration. The 2 principal proposed mechanisms of VF are multiple wavelets and mother rotors. Most studies of these proposed mechanisms for VF maintenance have been during the first minute of VF. However, the time to external defibrillation in the community and pre-hospital settings, where the majority of sudden cardiac death occurs, ranges from 4 to 10 min and the time to defibrillation seems crucial because the odds of survival worsen with delay. Recent studies during the first 10 min of VF suggest that Purkinje fibers are important in maintaining VF after the first 1 to 2 min, either as a part of a reentrant circuit or as a source of focal activations.

Indexed as

AnimalsElectrocardiographyElectrophysiologic Techniques, CardiacHeart Conduction SystemHumansPurkinje FibersVentricular Fibrillation

Identifiers

PMID19251220
PMCPMC2735473

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.