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Type: Artigo de periódico
Title: Lethal Effect Of Electric Fields On Isolated Ventricular Myocytes.
Author: de Oliveira, Pedro Xavier
Bassani, Rosana Almada
Bassani, José Wilson Magalhães
Abstract: Defibrillator-type shocks may cause electric and contractile dysfunction. In this study, we determined the relationship between probability of lethal injury and electric field intensity (E in isolated rat ventricular myocytes, with emphasis on field orientation and stimulus waveform. This relationship was sigmoidal with irreversible injury for E > 50 V/cm . During both threshold and lethal stimulation, cells were twofold more sensitive to the field when it was applied longitudinally (versus transversally) to the cell major axis. For a given E, the estimated maximum variation of transmembrane potential (Delta V(max)) was greater for longitudinal stimuli, which might account for the greater sensitivity to the field. Cell death, however, occurred at lower maximum Delta V(max) values for transversal shocks. This might be explained by a less steep spatial decay of transmembrane potential predicted for transversal stimulation, which would possibly result in occurrence of electroporation in a larger membrane area. For the same stimulus duration, cells were less sensitive to field-induced injury when shocks were biphasic (versus monophasic). Ours results indicate that, although significant myocyte death may occur in the E range expected during clinical defibrillation, biphasic shocks are less likely to produce irreversible cell injury.
Subject: Algorithms
Electric Stimulation
Heart Ventricles
Membrane Potentials
Models, Cardiovascular
Myocytes, Cardiac
Rats, Wistar
Citation: Ieee Transactions On Bio-medical Engineering. v. 55, n. 11, p. 2635-42, 2008-Nov.
Rights: fechado
Identifier DOI: 10.1109/TBME.2008.2001135
Date Issue: 2008
Appears in Collections:Unicamp - Artigos e Outros Documentos

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