Evidence map›Paper›PMID 21957174›Full record

ArticleScience translational medicine2011

Reversible cardiac conduction block and defibrillation with high-frequency electric field.

Harikrishna Tandri, Seth H Weinberg, Kelly C Chang, Renjun Zhu, Natalia A Trayanova, Leslie Tung, Ronald D Berger

Abstract read
In one paragraph

Article in Science translational medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
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

25 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
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  13. New insights into defibrillation of the heart from realistic simulation studies.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
    Review
  14. Reversible nerve conduction block using kilohertz frequency alternating current.Neuromodulation : journal of the International Neuromodulation Society · 2014
    Review
  15. Review
  16. Article
  17. Computational cardiology: how computer simulations could be used to develop new therapies and advance existing ones.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 · 2012
    Review
  18. At the heart of computational modelling.The Journal of physiology · 2012
    Review
  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

7 authors at 1 institution in 1 country.

Harikrishna TandriDepartment of Medicine, Johns Hopkins University, Baltimore, MD 21205, USA.
Seth H Weinberg
Kelly C Chang
Renjun Zhu
Natalia A Trayanova
Leslie Tung
Ronald D Berger
Johns Hopkins University · US

Funding

Resynchronizing the Failing Heart: Insights from a Multiscale Cardiac ModelR01HL103428 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TRAYANOVA, NATALIA A. · 2011 to 2014
$2.3M
Defibrillation Mechanisms in Infarcted HeartsR01HL082729 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TRAYANOVA, NATALIA A. · 2007 to 2010
$2.1M
Termination of Cardiac Arrhythmia by High Frequency Electric FieldR21HL104338 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BERGER, RONALD D, TUNG, LESLIE · 2010 to 2011
$451k
JHU Ultima-L Imaging SystemS10RR025544 · NCRR · JOHNS HOPKINS UNIVERSITY · PI TUNG, LESLIE · 2009 to 2009
$158k
NCRR NIH HHS S10 RR025544NHLBI NIH HHS R01 HL082729NHLBI NIH HHS R01 HL103428NHLBI NIH HHS R21 HL104338
6 · The paper itself

Abstract

Electrical impulse propagation is an essential function in cardiac, skeletal muscle, and nervous tissue. Abnormalities in cardiac impulse propagation underlie lethal reentrant arrhythmias, including ventricular fibrillation. Temporary propagation block throughout the ventricular myocardium could possibly terminate these arrhythmias. Electrical stimulation has been applied to nervous tissue to cause reversible conduction block, but has not been explored sufficiently in cardiac tissue. We show that reversible propagation block can be achieved in cardiac tissue by holding myocardial cells in a refractory state for a designated period of time by applying a sustained sinusoidal high-frequency alternating current (HFAC); in doing so, reentrant arrhythmias are terminated. We demonstrate proof of concept using several models, including optically mapped monolayers of neonatal rat ventricular cardiomyocytes, Langendorff-perfused guinea pig and rabbit hearts, intact anesthetized adult rabbits, and computer simulations of whole-heart impulse propagation. HFAC may be an effective and potentially safer alternative to direct current application, currently used to treat ventricular fibrillation.

Indexed as

ElectricityAnimalsArrhythmias, CardiacComputer SimulationElectric CountershockElectric StimulationGuinea PigsHeart Conduction SystemIn Vitro TechniquesMaleMyocytes, CardiacRabbitsRatsRats, Sprague-Dawley

Identifiers

PMID21957174
PMCPMC3328400
OpenAlexW1996793396

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.