Biomedical subjects

N G Sepulveda

Publications and source records attributed to N G Sepulveda.

5 recordsLinked to original sources

PubMed1994

Bipolar stimulation of cardiac tissue using an anisotropic bidomain model.

INTRODUCTION: One of the fundamental electrophysiologic problems that has not yet been completely elucidated is the response of cardiac tissue to externally applied electric currents. A limited number of theoretical and experimental techniques has been used to study the electric behavior of cardiac tissue in the presence of stimulating currents, and to demonstrate that the anisotropy in the passive electrical properties of the tissue plays an important role in the genesis and propagation of the activation wavefront and the resulting potential distributions. METHODS AND RESULTS: In this work we have applied the finite element method to study the electric and magnetic fields produced by cardiac tissue in response to bipolar current injection, using a linear bidomain model to represent the tissue. We found that the transmembrane potential distribution close to the stimulus electrode has a rather complex geometrical pattern, with adjacent hyperpolarized and depolarized regions. CONCLUSION: This behavior is consistent with previous theoretical and experimental results and may have implications in the study of electrical stimulation of cardiac tissue that are not apparent using other models.

Anisotropy↗

PubMed1990

Finite element analysis of cardiac defibrillation current distributions.

We have developed a two-dimensional finite element model of the canine heart and thorax to examine different aspects of the distribution of current through cardiac tissue during defibrillation. This model allows us to compare various electrode configurations for the implantable cardioverter/defibrillator. Since we do not yet know the electrical criteria to apply for predicting defibrillation thresholds, such as the minimum current density required for defibrillation or the critical mass if indeed such quantities are applicable, we measured defibrillation energy in dogs to determine the voltages to apply to the model for calculating current distributions. By analyzing isopotential contours, current lines, power distributions, current density histograms, and cumulative current distributions, we estimated the critical fraction and threshold current density for defibrillation, compared various electrode configurations, and assessed the sensitivity of the defibrillation threshold to electrode position, patch size, and tissue conductivity. We found that blood can shunt defibrillation current away from the myocardium, particularly in configurations using a two-electrode catheter, that myocardial tissue conductivity strongly affects the current distributions, and that epicardial patch size is more important that subcutaneous patch size. Our results are consistent with successful defibrillation requiring that 80 +/- 5% of the heart must be rendered inexcitable by a current density of 35 +/- 5 mA/cm2 or greater. This two-dimensional, isotropic model has allowed us to analyze some of the determinants of defibrillation, but more detailed interpretation of experimental data may require the extension of the model to three dimensions.

Animals↗

PubMed1989

Current injection into a two-dimensional anisotropic bidomain.

A two-dimensional sheet of anisotropic cardiac tissue is represented with the bidomain model, and the finite element method is used to solve the bidomain equations. When the anisotropy ratios of the intracellular and extracellular spaces are not equal, the injection of current into the tissue induces a transmembrane potential that has a complicated spatial dependence, including adjacent regions of depolarized and hyperpolarized tissue. This behavior may have important implications for the electrical stimulation of cardiac tissue and for defibrillation.

Animals↗

PubMed1987

Electric and magnetic fields from two-dimensional anisotropic bisyncytia.

Cardiac tissue can be considered macroscopically as a bidomain, anisotropic conductor in which simple depolarization wavefronts produce complex current distributions. Since such distributions may be difficult to measure using electrical techniques, we have developed a mathematical model to determine the feasibility of magnetic localization of these currents. By applying the finite element method to an idealized two-dimensional bisyncytium with anisotropic conductivities, we have calculated the intracellular and extracellular potentials, the current distributions, and the magnetic fields for a circular depolarization wavefront. The calculated magnetic field 1 mm from the tissue is well within the sensitivity of a SQUID magnetometer. Our results show that complex bisyncytial current patterns can be studied magnetically, and these studies should provide valuable insight regarding the electrical anisotropy of cardiac tissue.

Animals↗

PubMed1983

Finite element analysis of current pathways with implanted electrodes.

A technique for numerical solution to complex electric field distribution problems has been devised. The specific application for which it was developed is the analysis of current density and isopotential line spacing from implanted neurostimulation electrodes. Three configurations of cerebellar stimulation electrodes in clinical use were studied for current spread to regions distant from the cerebellum using a planar model of the human head, neck, and upper torso in mid-saggital section. It was found that an array of cathodes on the superior cerebellar surface and an array of anodes on the inferior cerebellar surface causes significant current spread to the brainstem, a prediction confirmed by clinical observation in patients with previously implanted electrodes of this configuration. Results modelling other electrode configurations are also presented, along with a study of the effects of possible inaccuracies in available impedance data for neural tissue.

Brain Diseases↗