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Unpinning and removal of a rotating wave in cardiac muscle
Authors:Takagi S  Pumir A  Pazó D  Efimov I  Nikolski V  Krinsky V
Affiliation:Institut Non Linéaire de Nice, 1361 route des Lucioles, F-06560 Valbonne, France.
Abstract:Rotating waves in cardiac muscle may be pinned to a heterogeneity, as it happens in superconductors or in superfluids. We show that the physics of electric field distribution between cardiac cells permits one to deliver an electric pulse exactly to the core of a pinned wave, without knowing its position, and even to locations where a direct access is not possible. Thus, unpinning or removal of rotating waves can be achieved. The energy needed is 2 orders of magnitude less than defibrillation energy. This opens a way to new manipulations with pinned vortices both in experiments and in cardiac clinics.
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