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PubMed2003

Characteristics of covert and overt visual orienting: Evidence from attentional and oculomotor capture.

Five visual search experiments found oculomotor and attentional capture consistent with predictions of contingent orienting, contrary to claims that oculomotor capture is purely stimulus driven. Separate saccade and attend-only conditions contained a color target appearing either singly, with an onset or color distractor, or both. In singleton mode, onsets produced oculomotor and attentional capture. In feature mode, capture was absent or greatly reduced, providing evidence for top-down modulation of both types of capture. Although attentional capture by color abstractors was present throughout, oculomotor capture by color occurred only when accompanied by transient change, providing evidence for a dissociation between oculomotor and attentional capture. Oculomotor and attentional capture appear to be mediated by top-down attentional control settings, but transient change may be necessary for oculomotor capture. ((c) 2003 APA, all rights reserved)

Adult↗

PubMed2005

Regional variation in capture of fibrillating swine left ventricle during electrical stimulation.

INTRODUCTION: While it has been shown that electrical stimulation can capture a region of myocardium during ventricular fibrillation (VF), the ideal location to stimulate to maximize capture of the fibrillating in vivo left ventricle (LV) is not known. We previously demonstrated a mean directionality to the propagation of VF wavefronts in swine from posterior to anterior LV. We hypothesized that this directionality of VF wavefronts would affect capture of the LV epicardium while stimulating during VF. METHODS AND RESULTS: In seven open-chest swine, during different VF episodes, electrical stimulation was performed singly or simultaneously from two lines of 26 epicardial electrodes, one on the posterior LV adjacent to the posterior descending coronary artery and another on the anterior LV adjacent to the left anterior descending coronary artery. Mapping was performed between the line of stimulating electrodes with 768 recording electrodes 2-mm apart. The incidence and extent of epicardium captured by stimulation through the lines of stimulating electrodes were determined in the mapped region. Capture occurred during 67% of 78 VF episodes. Capture from the posterior LV line was achieved in 88% of the episodes and from the anterior LV line in 44% of the episodes (P = 0.001). The maximum amount of myocardium captured was also much greater for stimulating from the posterior as compared to the anterior LV line (232 +/- 168 mm(2) vs 64 +/- 124 mm(2), P = 0.003). A significant part of the variability in capture was related to the direction of the mean VF wavefront velocity vector in each animal (r = 0.84, P < 0.05). CONCLUSION: Electrical stimulation from the posterior LV resulted in a greater incidence and extent of LV capture than stimulation from the anterior LV. A significant component of the variability in capture is related to the mean direction of VF wavefronts.

Animals↗

PubMed2004

Using Medicare data to estimate the number of cases missed by a cancer registry: a 3-source capture-recapture model.

BACKGROUND: Cancer surveillance is essential for assessing patterns of cancer occurrence. State cancer registries do not capture all available cases potentially biasing results. Secondary data may be useful in identifying new cases and estimating the number of cases missed. OBJECTIVE: We sought to create 2 distinct data sources from Medicare claims to use in combination with registry data as 3 sources for a capture-recapture analysis to estimate the capture rate and bias in capture of a statewide cancer registry. METHODS: Data from the Virginia cancer registry (Registry) were merged with Medicare inpatient (Part A) as well as Medicare outpatient and physician claims (Part B) to provide 3 sources to estimate missing cases. A 3-source loglinear model was used to estimate the number of missing cancer cases for breast, lung, colorectal, and prostate cancer. Models included main effects and interactions. Additional analysis looked at the effect of demographic and comorbidity variables. RESULTS: Loglinear models demonstrated mostly positive dependence between the 3 sources, implying that 2-source models would underestimate missing cases and overestimate capture rates. Using capture-recapture estimates of total number of cancer cases as the denominator, capture rates for Registry ranged from 59% (colorectal) to 74% (lung). When the aggregate of cases found by either Medicare or Registry were used the capture rates ranged from 74% (prostate) to 89% (breast). Further analysis indicated that capture rates differed by demographic characteristics. CONCLUSION: We conclude that Medicare claims are useful to supplement a Registry, estimate the number of missing cases, and assess bias in capture.

Aged↗

PubMed2005

The dynamic events that capture visual attention: A reply to Abrams and Christ (2005).

We recently demonstrated that, contrary to previous findings, some types of irrelevant motion are capable of capturing our attention (Franconeri & Simons, 2003). Strikingly, whereas sitmulated looming (a dynamic increase in object size) captured attention, simulated receding (a decrease in object size) did not. Abrams and Christ (2003, 2005) have provided a different interpretation of this evidence, arguing that in each case attention was captured by the onset of motion rather than by motion per se. They argued that the only published finding inconsistent with their motion onset account is our evidence that simulated receding motion failed to capture attention. Abrams and Christ (2005) presented a receding object stereoscopically and found that it did capture attention, leading them to conclude that the motion onset account explains existing data more parsimoniously than our account does. Our reply has three parts. First, we argue that evidence of capture by receding motion is interesting but irrelevant to the debate over whether capture by motion requires a motion onset. Second, we show that the original empirical evidence in support of the motion onset claim (Abrams & Christ, 2003) put the motion-only condition at a critical disadvantage. We present a new experiment that demonstrates strong capture by motion in the absence of a motion onset, showing that motion onsets are not necessary for attention capture by dynamic events. Finally, we outline what is known about the set of dynamic events that capture attention.

Attention↗

PubMed2001

An aquatic light trap designed for live capture of predatory Tropisternus sp (Coleoptera: Hydrophilidae) larvae in Arkansas rice fields.

Construction of an aquatic light trap developed for the live capture of 3rd-stage larvae of predatory Tropisternus sp. for use in laboratory bioassays against larvae of Anopheles quadrimaculatus and Psorophora columbiae is described. On 10 occasions, an average of 5.2 traps was used per evening, resulting in 52 trap-nights that accumulated 106.7 h of trapping time, or an average of 10.6 h per trap. Use of 2 heavy-duty alkaline D-sized batteries and appropriate in-circuit resistance effectively increased bulb life and trap operating time, ranging from 22 to 36 h. During both seasons, approximately 3 wk after permanent flooding of large rice fields was the most productive period in which to capture larvae of Tropisternus sp. Live trapping worked well and provided numerous larvae of Tropisternus sp. for use in laboratory predation bioassays with An. quadrimaculatus and Ps. columbiae larvae. Six hundred fifteen 3rd-stage larvae of Tropisternus sp. and 740 adult Tropisternus lateralis were captured in aquatic light traps in 1999 and 2000. Of traps containing larval Tropisternus sp. and adult T. lateralis, average numbers of 15.3 and 19.4 were captured per trap, respectively. Among all traps, the largest nightly captures of larval Tropisternus sp. and adult T. lateralis consisted of 263 and 404 specimens, respectively. The largest single trap captures for larval Tropisternus sp. and adult T. lateralis were 94 and 184, respectively. Additionally, 478 rice water weevils (Lissorhoptrus oryzophilus) also were captured. Rice water weevils averaged 36.7 per trap, with the largest single trap capture of 102 weevils on an evening where 287 weevils were captured among all traps. Other predatory insect species were captured infrequently, consisting primarily of 3rd-stage larvae of Hydrophilus triangularis and adult belostomatids, dytiscids, and notonectids. Predatory larvae of H. triangularis may have been attracted to the traps by the presence of larval Tropisternus sp. Larval Tropisternus sp. may have been attracted by the light source and prey items that entered the trap, such as chironomid larvae.

Agriculture↗

PubMed2000

An investigation of the feasibility of gadolinium for neutron capture synovectomy.

Neutron capture synovectomy (NCS) has been proposed as a possible treatment modality for rheumatoid arthritis. Neutron capture synovectomy is a two-part modality, in which a compound containing an isotope with an appreciable thermal neutron capture cross section is injected directly into the joint, followed by irradiation with a neutron beam. Investigations to date for NCS have focused on boron neutron capture synovectomy (BNCS), which utilizes the 10B(n,alpha)7Li nuclear reaction to deliver a highly localized dose to the synovium. This paper examines the feasibility of gadolinium, specifically 157Gd, as an alternative to boron as a neutron capture agent for NCS. This alternative modality is termed Gadolinium Neutron Capture Synovectomy, or GNCS. Monte Carlo simulations have been used to compare 10B and 157Gd as isotopes for accelerator-based NCS. The neutron source used in these calculations was a moderated spectrum from the 9Be(p,n) reaction at a proton energy of 4 MeV. The therapy time to deliver the NCS therapeutic dose of 10000 RBE-cGy, is 27 times longer when 157Gd is used instead of 10B. The skin dose to the treated joint is 33 times larger when 157Gd is used instead of 10B. Furthermore, the impact of using 157Gd instead of 10B was examined in terms of shielded whole-body dose to the patient. The effective dose is 202 mSv for GNCS, compared to 7.6 mSv for BNCS. This is shown to be a result of the longer treatment times required for GNCS; the contribution of the high-energy photons emitted from neutron capture in gadolinium is minimal. Possible explanations as to the relative performance of 157Gd and 10B are discussed, including differences in the RBE and range of boron and gadolinium neutron capture reaction products, and the relative values of the 10B and 157Gd thermal neutron capture cross section as a function of neutron energy.

Arthritis, Rheumatoid↗

PubMedDate not supplied

In vitro flow phantom analysis and clot-capturing ability of incompletely opened Vena Tech-LGM vena caval filters.

It has been shown recently that Vena Tech-LGM (B. Braun Vena Tech, Evanston, IL) filters inserted into the inferior vena cava via the jugular route may be deployed sometimes in an incompletely opened (IO) position. The flow characteristics and clot capturing ability of IO Vena Tech-LGM filters are not clearly understood. Using a vena cava flow phantom, the clot-capturing abilities of the IO and opened Vena Tech-LGM filters were assessed. For 5 x 5-mm clots, the IO Vena Tech-LGM filter captured only 40% of thrombi compared with a 90% capture rate for the opened filter. The capture rates were 90 and 100% for the IO and opened filter, respectively, for larger 5 x 15-mm clots. It was found that the IO filter could capture 2-7 x 25 mm thrombi prior to the development of a turbulent bypass channel which prevented subsequent clot capture. Using 5 x 15 mm clots, this same phenomenon occurred with the capture of 6 and 11 thrombi by the IO and opened Vena Tech-LGM filters, respectively. Our results suggest a significantly reduced filtering efficiency for the IO Vena Tech-LGM device. However, there is a high rate of clot capture with the opened Vena Tech-LGM filter.

Efficiency↗

PubMed2005

Plant N capture from pulses: effects of pulse size, growth rate, and other soil resources.

In arid ecosystems, the ability to rapidly capture nitrogen (N) from brief pulses is expected to influence plant growth, survival, and competitive ability. Theory and data suggest that N capture from pulses should depend on plant growth rate and availability of other limiting resources. Theory also predicts trade-offs in plant stress tolerance and ability to capture N from different size pulses. We injected K15NO3, to simulate small and large N pulses at three different times during the growing season into soil around the co-dominant Great Basin species Sarcobatus vermiculatus, Chrysothamnus nauseosus ssp. consimilis, and Distichlis spicata. Soils were amended with water and P in a partial factorial design. As predicted, all study species showed a comparable decline in N capture from large pulses through the season as growth rates slowed. Surprisingly, however, water and P availability differentially influenced the ability of these species to capture N from pulses. Distichlis N capture increased up to tenfold with water addition while Chrysothamnus N capture increased up to threefold with P addition. Sarcobatus N capture was not affected by water or P availability. Opposite to our prediction, Sarcobatus, the most stress tolerant species, captured less N from small pulses but more N from large pulses relative to the other species. These observations suggest that variation in N pulse timing and size can interact with variable soil water and P supply to determine how N is partitioned among co-existing Great Basin species.

California↗

PubMed2001

Simultaneous capture of metal, sulfur and chlorine by sorbents during fluidized bed incineration.

Metal capture experiments were carried out in an atmospheric fluidized bed incinerator to investigate the effect of sulfur and chlorine on metal capture efficiency and the potential for simultaneous capture of metal, sulfur and chlorine by sorbents. In addition to experimental investigation, the effect of sulfur and chlorine on the metal capture process was also theoretically investigated through performing equilibrium calculations based on the minimization of system free energy. The observed results have indicated that, in general, the existence of sulfur and chlorine enhances the efficiency of metal capture especially at low to medium combustion temperatures. The capture mechanisms appear to include particulate scrubbing and chemisorption depending on the type of sorbents. Among the three sorbents tested, calcined limestone is capable of capturing all the three air pollutants simultaneously. The results also indicate that a mixture of the three sorbents, in general, captures more metals than a single sorbent during the process. In addition, the existence of sulfur and chlorine apparently enhances the metal capture process.

Adsorption↗

PubMed2001

Pacing during ventricular fibrillation: factors influencing the ability to capture.

INTRODUCTION: Recent studies showed that pacing atrial and ventricular fibrillation (VF) is possible. The studies presented here determined which parameters influence the efficacy of a pacing train to capture fibrillating ventricular myocardium. Electrode type, current strength, order of pacing trains, polarity, and VF morphology preceding the pacing trains were investigated. METHODS AND RESULTS: A 504-electrode recording plaque sutured to the right ventricle of pig hearts was used to record the activations of VF and those resulting from the pacing stimulation. Capture of VF by pacing was determined by observing an animated display of the first temporal derivative of the electrograms. A series of electrodes in a line captured the heart more frequently during VF than did a point electrode. Increasing the current strength to 10 x diastolic pacing threshold increased the incidence of capture, but increasing this strength further did not. The second or third train of 40 stimuli had greater capture rates than did the first train during the same VF episode. Anodal and cathodal unipolar, and bipolar stimulation were equally efficacious in capturing VF. VF activation during the 1-second interval preceding pacing was more organized for pacing trains that captured than those that did not. The highest incidence of capture, 46% to 61% of pacing trains, occurred with a line of electrodes at 10 x diastolic pacing threshold delivered by the second or third train. CONCLUSION: The probability of a pacing train capturing fibrillating myocardium can be influenced by the pacing protocol parameters.

Animals↗

PubMed2003

EMG amplitude in maximal and submaximal exercise is dependent on signal capture rate.

This study analysed the effect of different electromyographic (EMG) capture rates during maximal voluntary contraction, submaximal and maximal dynamic cycling activity on EMG amplitude and signal characteristics. Ten healthy subjects participated in this study. Peak power output (PPO) and maximal isometric force output (MVC) were measured, followed by a progressive cycle ride on a cycle ergometer. Electromyographic (EMG) data were simultaneously captured during the MVC and cycling activities at frequencies of 32, 64, 128, 256, 512, 1024 and 1984 Hz. Significant differences in amplitude were found (p < 0.01) between MVC, submaximal (SUB) and maximal cycling activities (PWATT) for all capture rates. Asymptote values for IEMG amplitude occurred at EMG capture rates of 1604 +/- 235.6 Hz during MVC, 503.1 +/- 236.2 Hz during PWATT and 326.2 +/- 105.4 Hz during SUB cycling activity and were significantly different (p < 0.01). No significant differences were found for force/EMG ratios between PWATT and MVC at 1984 Hz capture rates (3.8 +/- 1.7 N/V vs 2.5 +/- 0.9 N/V) while significant differences occurred at 32 Hz capture rate (6.2 +/- 3.8 vs 16.0 +/- 8.0; p < 0.01). Low correlations were found between EMG activity captured at 1984 Hz during PWATT and lean thigh volume (r = 0.36) and MVC (r = 0.32). Asymptote values found on this study suggest that data captured below 326 Hz for SUB, 503 Hz for PWATT and 1604 Hz for MVC are not reliable. Therefore apparatus capturing EMG data at low frequencies from these values cannot be used for quantitative data analyses.

Adult↗

PubMed2005

New optional IVC filter for percutaneous retrieval--in vitro evaluation of embolus capturing efficiency.

PURPOSE: In-vitro evaluation of a new caval filter (Cook Celect Filter) developed for delayed percutaneous retrieval in comparison to the Gunther Tulip filter. MATERIALS AND METHODS: The new Celect filter is constructed on the basis of the Tulip filter and consists of 4 primary anchoring legs and additional 8 thinner secondary wires to stabilize the filter and to guarantee adequate filtering efficiency. The filtering wires are of the same amount and equal distribution as the filtering wires of the Tulip filter. The secondary wires are arranged in such a way that percutaneous filter retrieval should be possible even if the wires are incorporated into the caval wall. In a flow model (tube size ø15-, ø22- and ø30 mm), the filter was exposed to single and multiple emboli (blood clots) of different sizes (3 x 5, 3 x 10, 5 x 10, 3 x 20, 5 x 20, 7 x 10, 7 x 20 to 10 x 24 mm) to analyse the embolus capturing efficiency under different conditions including eccentric and concentric, horizontal and vertical positions in comparison to the Tulip filter. All testing was carried out in SPSS analytic software; statistical significance was assumed for p-values < 0.05. RESULTS: The in-vitro embolus capturing efficiency of the Celect filter proved to be equivalent to the Tulip filter. In the single-embolus test, 91.6 % of the clots were captured by the Celect filter and 87.2 % by the Tulip filter (p = 0.042). Large clots ranging from 7 x 10 to 10 x 24 mm were captured in all cases, whereas the capture rates for the 3 x 5-mm and 3 x 10-mm clots were lower. The filters captured significantly more clots in the concentric than in the eccentric location. There was no significant difference between the overall capture rates of the two filters in the multi-clot test (72.2 % vs. 75.1 %), which showed deterioration of filter function during multiple clot exposure. With the 15-mm tube, the Celect filter had a significantly higher capture rate than the Tulip filter, whereas it was lower with the ø30-mm tube. There was no significant difference between the filters in a ø22-mm tube. The pressure gradient across the filters when exposed to blood clots ranged from 4.9 - 7.4 mm Hg for the Celect filter and 5.7 - 6.8 mm Hg for the Tulip filter in the single-embolus testing. There was no significant difference in the multi-clot tests. CONCLUSION: The new Celect filter showed similar in-vitro capture properties as the Gunther Tulip filter and deserves further in-vivo testing.

Blood Flow Velocity↗

PubMed2004

On the capturing of low-energy electrons by DNA.

Many of the mutagenic or lethal effects of ionization radiation can be attributed to damage caused to the DNA by low-energy electrons. To gain insight on the parameters affecting this process, we measured the low-energy electron (<2 eV) transmission yield through self-assembled monolayers of short DNA oligomers. The electrons that are not transmitted are captured by the layer. Hence, the transmission reflects the capturing efficiency of the electrons by the layer. The dependence of the capturing probability on the base sequence was studied, as was the state of the captured electrons. It is found that the capturing probability scales with the number of G bases in the single-stranded oligomers and depends on their clustering level. Using two-photon photoelectron spectroscopy, we find that, once captured, the electrons do not reside on the bases. Rather, the state of the captured electrons is insensitive to the sequence of the oligomer. Double-stranded DNA does not capture electrons as efficiently as single-stranded oligomers; however, once captured, the electrons are bound more strongly than to the single strands.

DNA↗

PubMed1994

Elements of error correction in mitosis: microtubule capture, release, and tension.

The correction of certain errors in mitosis requires capture and release: new kinetochore microtubules must be captured and old, misdirected ones must be released. We studied capture and release in living grasshopper spermatocytes. Capture is remarkably efficient over a broad range in the angle at which a microtubule encounters a kinetochore. However, capture is inefficient when kinetochores point directly away from the source of properly directed microtubules. Capture in that situation is required for correction of the most common error; microtubule-kinetochore encounters are improbable and capture occurs only once every 8 min, on average. Release from the improper attachment caused by misdirected microtubules allows kinetochore movement and the completion of error correction. We tugged on kinetochores with a micromanipulation needle and found they are free to move less than one time in two. Thus error correction depends on two improbable events, capture and release, and they must happen by chance to coincide. In spermatocytes this will occur only once every 18 min, on average, but a leisurely cell cycle provides ample time. Capture and release generate only change, not perfection. Tension from mitotic forces brings change to a halt by stabilizing the one correct attachment of chromosomes to the spindle. We show that tension directly affects stability, rather than merely constraining kinetochore position. This implies that chromosomes are attached to the spindle by tension-sensitive linkers whose stability is necessary for proper chromosome distribution but whose loss is necessary for the correction of errors.

Animals↗

PubMed1990

Alternate methods for the determination of atrial capture threshold utilizing the telemetered intracardiac electrogram.

Periodic determination of pacemaker capture threshold is important to ensure appropriate pacemaker function. During dual chamber pacing, it is sometimes difficult to identify evidence of atrial depolarization on surface electrocardiography (ECG), and this can interfere with the ability to ascertain atrial capture. We describe new methods for determining atrial capture threshold using a standard telemetered endocardial atrial electrogram (AEGM). For the first method, the atrial output is decremented until loss of atrial capture is demonstrated by the appearance of native P wave activity on the AEGM. The atrial capture threshold can then be accurately determined as the point at which a stepwise increase in atrial output results in extinction of the native P wave activity. The second method uses the direct visualization of the AEGM recorded between the ring electrode and pacemaker generator during unipolar (lead tip electrode) pacing. This requires the presence of a bipolar lead. Using this method of recording, it is possible to identify a signal after the atrial stimulus artifact during atrial capture, which disappears with loss of capture. This signal is consistent with a paced "evoked atrial potential" and allows verification of atrial capture. After validating the methods in two sets of test patients with clearly identifiable atrial depolarization on surface ECG, one method was successfully applied to a patient in whom atrial depolarization could not be reliably ascertained on surface ECG. These methods promise to be useful in selected patients in whom confirmation of atrial capture would otherwise be difficult.

Animals↗

PubMed1999

Capture window in human atrial fibrillation: evidence of an excitable gap.

INTRODUCTION: Local capture of atrial fibrillation (AF) was shown in animal experiments for a wide range of pacing rates, thus demonstrating the existence of an excitable gap. The aim of this study was to assess the existence of an excitable gap in human AF by studying the mechanism of local control and acceleration of AF over a wide range of pacing rates and by evaluating the time window of capture. METHODS AND RESULTS: Recording and stimulation of electrical activity in the right atrium during AF was performed by a monophasic action potential (MAP) contact electrode catheter in 17 patients with lone AF during electrophysiologic study. Stimulation was started at pacing intervals close to the mean AF interval, and the time window of capture was estimated by lengthening or shortening the pacing interval until capture was lost. Pacing intervals shorter than the minimum cycle length for capture were also tested. Beat-to-beat measurements of AF intervals during pacing were performed. Atrial MAP signal showed rapid irregular activity with an average AF interval of 151.3 +/- 16.1 msec and SD of 21.3 +/- 5.2 msec. Rapid pacing with a cycle length slightly shorter or longer than the mean AF interval resulted in local capture of AF. The width of time window of capture ranged from 22 to 36 msec, with a mean value of 28.8 +/- 4.9 msec. The average minimum pacing interval of stable capture was 129.2 +/- 19.5 msec, while the maximum was 158.1 +/- 18.7 msec, corresponding to 85% and 104% of mean AF cycle length, respectively. Pacing too rapidly resulted in a transient acceleration of AF, with an average shortening of fibrillation interval from 149.8 +/- 16.6 to 123.2 +/- 15.1 msec (P < 0.01). CONCLUSION: Local capture is feasible during AF in humans over a wide range of pacing rates, indicating the possibility of regional control of the fibrillatory process. This result demonstrates the presence of an excitable gap during AF in human atria.

Action Potentials↗

PubMedDate not supplied

Delineation of three-dimensional well capture zones for complex multi-aquifer systems.

The delineation of well capture zones is a basic component of ground water protection. The conventional methodology for capture zone delineation is backward advective particle tracking, often applied under the assumption of a two-dimensional aquifer. The suitability of the conventional approach for complex heterogeneous multi-aquifer systems was investigated, using the Waterloo Moraine aquifer system as an example. It was found that the conventional approach produces irregular particle tracks that require judgment to interpret in a meaningful way, and it can raise questions that may affect the credibility of the capture zone delineation. As an alternative, the potentially powerful but little-used backward-in-time advective-dispersive transport approach was investigated. A key advantage of this approach is its capability to represent local heterogeneities through the dispersion term. The dispersion process has a natural smoothing effect that results in unambiguous capture zones without the need for interpretation, thus enhancing credibility. The question of capture zone validation is also addressed. The meaning of a three-dimensional capture zone is considered, and it is shown that a fully three-dimensional representation of the system is crucial for valid results. The distinction between the maximum extent capture zone and the surface capture zone is also explained. In the case of complex heterogeneous systems, advective particle tracking can be used as an initial screening tool, whereas the more realistic backward-transport modeling approach can be used for final capture-zone delineation.

Soil Pollutants↗

PubMed2004

Mechanisms of myocardial capture and temporal excitable gap during spiral wave reentry in a bidomain model.

BACKGROUND: Recent studies have demonstrated that regional capture during cardiac fibrillation is associated with an elevated capture threshold. It is typically assumed that the temporal excitable gap (capture window) during fibrillation reflects the size of the spatial excitable gap (excitable tissue between fibrillation waves). Because capture threshold is high, virtual electrode polarization is expected to be involved in the process. However, little is known about the underlying mechanisms of myocardial capture during fibrillation. METHODS AND RESULTS: To clarify these issues, we conducted altogether 3168 simulations of single spiral wave capture in a bidomain sheet. Unipolar stimuli of strengths 4, 8, 16, and 24 mA and 2-ms duration were delivered at 99 locations in the sheet. We found that cathode-break rather than cathode-make excitation was the dominant mechanism of myocardial capture. When the stimulation site was located diagonally with respect to the core (upper left or lower right if the spiral wave rotates counterclockwise), the cathode-break excitation easily invaded the spatial excitable gap and resulted in a successful capture as a result of the formation of virtual anodes in the direction of the myocardial fibers. Thus, the spatial distribution of the temporal excitable gap did not reflect the spatial excitable gap. CONCLUSIONS: The areas exhibiting wide temporal excitable gaps were areas in which the cathode-break excitation wave fronts easily invaded the spatial excitable gap via the virtual anodes. This study provides mechanistic insight into myocardial capture.

Atrial Fibrillation↗