2022
DOI: 10.1073/pnas.2117568119
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Terminating spiral waves with a single designed stimulus: Teleportation as the mechanism for defibrillation

Abstract: We identify and demonstrate a universal mechanism for terminating spiral waves in excitable media using an established topological framework. This mechanism dictates whether high- or low-energy defibrillation shocks succeed or fail. Furthermore, this mechanism allows for the design of a single minimal stimulus capable of defibrillating, at any time, turbulent states driven by multiple spiral waves. We demonstrate this method in a variety of computational models of cardiac tissue ranging from simple to detailed… Show more

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Cited by 17 publications
(10 citation statements)
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References 58 publications
(85 reference statements)
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“…This motion and the associated spiral have a particular chirality, corresponding to a topological charge of +1 or −1. 67,68 Interestingly, spirals form and vanish only in pairs of +1 and −1 rotors. In addition, n-armed spirals are assigned topological charges of ± n and obey the same conservation constraint.…”
Section: The Journal Of Physical Chemistry Lettersmentioning
confidence: 99%
See 1 more Smart Citation
“…This motion and the associated spiral have a particular chirality, corresponding to a topological charge of +1 or −1. 67,68 Interestingly, spirals form and vanish only in pairs of +1 and −1 rotors. In addition, n-armed spirals are assigned topological charges of ± n and obey the same conservation constraint.…”
Section: The Journal Of Physical Chemistry Lettersmentioning
confidence: 99%
“…For instance, rotating spiral waves are organized by their central tip that, in simple cases, rotates along a small self-organized circular trajectory that remains stationary. This motion and the associated spiral have a particular chirality, corresponding to a topological charge of +1 or −1. , Interestingly, spirals form and vanish only in pairs of +1 and −1 rotors. In addition, n -armed spirals are assigned topological charges of ± n and obey the same conservation constraint.…”
mentioning
confidence: 99%
“…Hence, in the biological context, the formation of spiral waves is often a sign of dysfunction. Consequently, in computational studies, various techniques have been used to terminate wave reentry, either by eliminating the stable rotor [12,13] or by making the spiral seed non-stationary [14], driving the rotor out of the medium.…”
Section: Introductionmentioning
confidence: 99%
“…In the last decades, cardiac research recognized computer models as fundamental tools in understanding both cardiac function and its response to external stimulation. Indeed, several recent computational studies focus on the development of carefully designed, low-energy stimulation strategy [5][6][7][8].…”
Section: Introductionmentioning
confidence: 99%