By Matthias Reumann
ISBN-10: 3866441223
ISBN-13: 9783866441224
Read Online or Download Computer Assisted Optimisation of Non-Pharmacological Treatment of Congestive Heart Failure and Supraventricular Arrhyth PDF
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Extra resources for Computer Assisted Optimisation of Non-Pharmacological Treatment of Congestive Heart Failure and Supraventricular Arrhyth
Sample text
The anatomic pattern of these sleeves indeed seems to correlate with the relative distribution of PV ectopy [119, 118] compared with the seminal findings in [108] where 31 foci were located in the left superior PV, 17 in the right superior PV, 11 in the left inferior PV and 6 in the right inferior PV. The myocardial sleeves have a greater extend in the superior PVs and the left PVs show larger sleeves compared to the right PVs [196, 31]. Further, myocardial gaps composed of fibrous tissue have been found [118].
The shortening of atrial refractory periods and atrial action potentials may be caused by a net decrease of inward ionic currents (N a+ , Ca2+ ), a net increase of outward currents (K + ), or a combination of both. Shortening of refractoriness in combination with a reduced conduction velocity results in a shorter atrial wavelength which in turn favours AF [260]. But it has been shown, that the remodelling process is not the initiator of AF but occurs as a consequence of AF [300]. This process is known as “AF begets AF” since the remodelling process due to AF favours the maintenance of AF.
They close to prevent the backflow of blood during diastole (see fig. 1). These four valves are situated in the so called valve plane (see fig. 2). As part of the fibrous skeleton of the heart, the valve plane separates the atria from the ventricles not only structurally but also electromechanically. Still, the excitation of the atria causes the ventricles to be excited through the atrio - ventricular node (see fig. 2) in the physiological case which causes the contraction of the hearts main chambers.
Computer Assisted Optimisation of Non-Pharmacological Treatment of Congestive Heart Failure and Supraventricular Arrhyth by Matthias Reumann
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