Evidence map›Paper›PMID 24852817›Full record

ArticleMethods of information in medicine2014

Surface and intramural reentrant patterns during atrial fibrillation in the sheep.

O Berenfeld, M Yamazaki, D Filgueiras-Rama, J Kalifa

Abstract read
In one paragraph

Article in Methods of information in medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Determinants of new wavefront locations in cholinergic atrial fibrillation.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 · 2018
    Article
  2. Article
  3. 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

4 authors at 2 institutions in 1 country.

O BerenfeldOmer Berenfeld, PhD, Associate Professor of Internal Medicine and Biomedical Engineering, Center for Arrhythmia Research, Departments of Internal Medicine and Biomedical Engineering, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI 48109, USA, E-mail: oberen@umich.edu.
M Yamazaki
D Filgueiras-Rama
J Kalifa
University of Michigan–Ann Arbor · USAnn Arbor Center for Independent Living · US

Funding

THREE DIMENSIONAL VORTEX LIKE REENTRY IN CORONARY PERFUSED VENTRICULAR WALLP01HL039707 · NHLBI · UPSTATE MEDICAL UNIVERSITY · PI JALIFE, JOSE S · 1990 to 2010
$19.0M
P3: Biophysical Mechanisms in two Arhythmogenic DiseasesP01HL087226 · NHLBI · UPSTATE MEDICAL UNIVERSITY · PI JALIFE, JOSE S · 2007 to 2012
$10.3M
Mapping Electrical Activation in Atrial FibrillationR01HL118304 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BERENFELD, OMER · 2013 to 2016
$1.5M
Mechanical stretch and fibrillation dynamics in the left atriumR01HL087055 · NHLBI · UPSTATE MEDICAL UNIVERSITY · PI KALIFA, JEROME · 2007 to 2011
$1.3M
NHLBI NIH HHS P01 HL039707NHLBI NIH HHS P01-HL039707NHLBI NIH HHS P01 HL087226NHLBI NIH HHS P01-HL087226NHLBI NIH HHS R01 HL087055NHLBI NIH HHS R01-HL087055NHLBI NIH HHS R01 HL118304NHLBI NIH HHS R01-HL118304
6 · The paper itself

Abstract

introductionThis article is part of the Focus Theme of Methods of Information in Medicine on "Biosignal Interpretation: Advanced Methods for Studying Cardiovascular and Respiratory Systems".

backgroundAtrial fibrillation (AF) is the most common sustained cardiac arrhythmia in humans and is predicted to dramatically increase its prevalence in the future. High-resolution mapping data and Fourier power spectral analysis with its dominant frequency support the hypothesis that AF in the structurally normal sheep heart and in some patients often presents organized drivers in the form of periodic surface re-entries or breakthroughs. Nevertheless, the dynamics of those surface patterns of activity, as well as their intramural components are still poorly understood.

objectiveTo present data on AF waves from the surface of isolated sheep hearts and discuss the interpretation of their intramural patterns.

methodsWe used a combination of endocardial-epicardial optical mapping with phase and spectral analysis as well as computer simulation of the re-entrant activity in the myocardial wall.

resultsAnalysis of the surfaces' optical mapping data in the phase domain reveals that activation of the posterior left atrium (PLA) consisted of alternating patterns of breakthroughs and reentries. The patterns on the endocardial and epicardial PLA surface at any given moment of time of the AF could be either identical or not identical, and the activity in the thickness of the PLA wall is hypothesized to conform to either ectopic discharge or reentrant scroll waves, but a definite evidence for the presence of such mechanisms is currently lacking. A universal minimal-principle theory is shown in a computer model to result in a tendency of the axis of the scroll waves to align with the myocardial fibers inside the wall.

conclusionThe tendency of filaments of scroll waves to align with myocardial fibers may contribute to the variety and intermittency of surface rotors seen in AF.

Indexed as

ElectrocardiographyIsolated Heart PreparationModels, CardiovascularSignal Processing, Computer-AssistedAnimalsAtrial FibrillationSheepTachycardia, Atrioventricular Nodal ReentryVoltage-Sensitive Dye ImagingAtrial fibrillationectopic activityoptical mappingreentryresistance geodesic

Identifiers

PMID24852817
PMCPMC4292869
OpenAlexW2055898560

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.