0000000000279847

AUTHOR

Oriol Pont

Arrhythmia due to mild therapeutic hypothermia - a study in vitro

International audience; Introduction: In case of resuscitation after CA, the brain suffers the ischemia and the inflammation from reperfusion. To days, the only therapy available is the mild therapeutic hypothermia (MTH) : put the patient under 34°C-32°C during 12-24 hours. MTH has been shown to increase the hospital survival rate, but it has many adverse effects, among which the cardiac arrhythmia generation represents an important part (up to 34%). Cardiac culture in vitro provides a better spatial resolution than study in vivo, which could bring some insights of the mechanism of post-hypothermia arrhythmia generation. Method: Monolayer cardiac culture is prepared with cardiomyocytes from…

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Experimental study of arrhythmia due to mild therapeutic hypothermia after resuscitation of cardiac arrest

International audience; Introduction: One of the important challenges after cardiac arrest (CA) is the neurological damage of the brain. In case of resuscitation after CA, the brain suffers the ischemia and the inflammation from reperfusion. To days, the only therapy available is the mild therapeutic hypothermia (MTH) : put the patient under 34°C-32°C during 12-24 hours. Even though that MTH has been shown to increase the hospital survival rate, it has many adverse effects, among which the cardiac arrhythmia generation represents an important part (up to 34%). Cardiac culture in vitro provides a better spatial resolution (to cellular level) than study in vivo, which could bring some insight…

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Cardiac arrhythmia induced by hypothermia in a cardiac model in vitro

The neurological damage after cardiac arrest (CA) constitutes a big challenge of hospital discharge since years. The therapeutic hypothermia therapy (34°C-32°C) has shown its benefit to reduce cerebral oxygen demand and improve neurological outcomes after the cardiac arrest. Despite the fact that induced hypothermia after CA has been shown to increase the hospital survival rate, it can have many adverse effects, among which the cardiac arrhythmia generation represents an important part (up to 34%, according different clinical studies). Compared to studies in vivo, cardiac culture in vitro provides a better spatial resolution at cellular level, which could bring some insights of the mechanis…

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Complexity analysis of experimental cardiac arrhythmia

International audience; To study the cardiac arrhythmia, an in vitro experimental model and Multielectrodes Array (MEA) are used. This platform serves as an intermediary of the electrical activities of cardiac cells and the signal processing / dynamics analysis. Through it the extracellular potential of cardiac cells is acquired, allowing a real-time monitoring / analyzing. Since MEA has 60 electrodes / channels dispatched in a rectangular region, it allows real-time monitoring and signal acquisition on multiple sites. The in vitro experimental model (cardiomyocytes cultures from new-born rats' heart) is directly prepared on the MEA. This carefully prepared culture has similar parameters as…

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Cardiac arrhythmia induced by hypothermia in a cardiac model in vitro

nouvelle version avec l'article complet; International audience; The neurological damage after cardiac arrest (CA) constitutes a big challenge of hospital discharge since years. The therapeutic hypothermia therapy (34°C-32°C) has shown its benefit to reduce cerebral oxygen demand and improve neurological outcomes after the cardiac arrest. Despite the fact that induced hypothermia after CA has been shown to increase the hospital survival rate, it can have many adverse effects, among which the cardiac arrhythmia generation represents an important part (up to 34%, according different clinical studies). Compared to studies in vivo, cardiac culture in vitro provides a better spatial resolution a…

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Parameters analysis of FitzHugh-Nagumo model for a reliable simulation

International audience; Derived from the pioneer ionic Hodgkin-Huxley model and due to its simplicity and richness from a point view of nonlinear dynamics, the FitzHugh-Nagumo model has been one of the most successful neuron / cardiac cell model. It exists many variations of the original FHN model. Though these FHN type models help to enrich the dynamics of the FHN model. The parameters used in these models are often in biased conditions. The related results would be questionable. So, in this study, the aim is to find the parameter thresholds for one of the commonly used FHN model in order to pride a better simulation environment. The results showed at first that inappropriate time step and…

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