Key result
Multi-band-decomposition analysis of canine ventricular epicardial preparations demonstrated that hypothermia promotes cardiac alternans and improved quantification over traditional methods.
Why the study?
Does multi-band-decomposition analysis (MBDA) improve the quantification of cardiac alternans properties under different thermal states in canine ventricular epicardial preparations?
Does multi-band-decomposition analysis (MBDA) improve the quantification of cardiac alternans properties under different thermal states in canine ventricular epicardial preparations?
The multi-band-decomposition analysis (MBDA) technique offers a comprehensive and threshold-independent method for quantifying cardiac alternans properties, potentially leading to a deeper understanding of arrhythmia mechanisms.
MBDA refines alternans quantification in hypothermic models; leaves open translation to human arrhythmia risk assessment.
OBJECTIVE: It has long been known that variations in temperature can facilitate the development of cardiac arrhythmias. Here, we aim to quantify the effects of temperature on cardiac alternans properties. APPROACH: in this work, we use optical mapping recordings of canine ventricular epicardial preparations to demonstrate that hypothermia can promote the formation of alternans, which is an important precursor to potentially lethal arrhythmias like fibrillation. We then present a novel quantification of alternans properties for a broad range of cycle lengths under different thermal states. Specifically, we apply the recently developed multi-band-decomposition analysis (MBDA) in the context of cardiac action potential dynamics. MAIN RESULTS: We show that the MBDA offers several advantages compared with traditional analysis of action potential durations. First, MBDA allows a depiction and quantification of the magnitude of alternans at all threshold values simultaneously and thus offers more information about how alternans relates to the action potential morphology while also removing the necessity of choosing a single threshold value. Second, the MBDA technique offers simple ways for assessing action potential amplitude alternans. Finally, MBDA provides a quantification of signal quality without any additional processing. SIGNIFICANCE: We find that the MBDA technique shows promise in leading to a deeper understanding of cardiac alternans properties.
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Gizzi et al. (2017) studied Cardiac alternans. Multi-band-decomposition analysis (MBDA) vs. Traditional analysis of action potential durations was evaluated on Quantification of alternans properties. Multi-band-decomposition analysis of canine ventricular epicardial preparations demonstrated that hypothermia promotes cardiac alternans and improved quantification over traditional methods.
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