| Peer-Reviewed

An In-vitro Method for Current Induced Ventricular Fibrillations

Received: 29 November 2021    Accepted: 10 January 2022    Published: 18 January 2022
Views:       Downloads:
Abstract

The motivation of the current study was to provide threshold values of rabbit hearts for ventricular fibrillation (vf) induced by electric current of 50Hz and to develop a flexible but robust experimental setup for stimulation experiments on the beating heart. The stimulation was performed in a way that the current flow through the heart is nearly homogeneous, similar to the situation of an electrical accident. In this way the work should also serve as a basis for future vf-related investigations, e.g. sine waves from 10Hz up to 10kHz, mixed signals, current pulses and pure DC. One of the main objectives was to avoid deviations of the data due to inappropriate experimental methods, such like direct contact of the heart tissue or interferences from the nervous system which one get from whole animal experiments. The work should additionally give the proper setup to gather the necessary data for transformations of animal data to human data. First an experimental procedure and setup for hearts of small animals that fulfills most important requirements for stimulation of the myocardium and the measurement of various heart parameters in a repeatable way was developed. In this way specific stimulation experiments were performed on rabbit hearts in an ejecting, blood-perfused isolated heart model to determine the threshold values for vf at 50Hz. Additional experiments to determine the electrical field inside and outside of the heart as well as the dependency of different stimuli modes (T-wave trigger, stimulation for several periods) have been conducted. In the verification with a frequency of 50Hz, current density of (7,3 ± 3,8)mA/cm2 results as a mean threshold of ventricular fibrillation from 143 experiments. Finally a comparison to other research works in this field was performed to show the advantages and disadvantages of the respective approaches.

Published in International Journal of Biomedical Science and Engineering (Volume 10, Issue 1)
DOI 10.11648/j.ijbse.20221001.11
Page(s) 1-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Ventricular Fibrillation, Isolated Heart Model, Vf-threshold, Rabbit Hearts, Experimental Setup

References
[1] Biegelmeier, G, Lee, W. R., New considerations of ventricular fibrillation for a. c. shocks at 50-60Hz, IEE Proc. Vol. 127 (1980) Nr. 2 S103-110.
[2] Weirich J, Hohnloser S, Antoni H., Factors determining the susceptibility of the isolated guinea pig heart to ventricular fibrillation induced by sinusoidal alternating current at frequencies from 1 to 1000 Hz., Basic Res Cardiol. 1983 Nov-Dec; 78 (6): 604-16.
[3] Alexander V. Panfilov, Is heart size a factor in ventricular fibrillation? Or how close are rabbit and human hearts? Heart Rhythm 3 (7): 862-4ˆA• August 2006.
[4] Rogers, A collocation-Galerkin finite element model of cardiac action potential propagation.
[5] Pertsov, Spiral waves of excitation underlie reentrant activity in isolated cardiac muscle.
[6] B. Podesser et al., The erythrocyte-perfused “working heart” model: Hemodynamicand metabolic performance in comparison to crystalloid perfused hearts, J Pharmacol Toxicol 41 (1999) 9-15.
[7] B. Podesser et al., New developments in the isolated working heart: a comparison of neonatal, immature, and adult rabbits after sixty minutes of ischemia in respect to hemodynamic and biochemical parameters., J Pharmacol Toxicol 1993 Dec; 30 (4): 189-96.
[8] Geddes LA, Cabler P, Moore AG, Rosborough J, Tacker WA. Threshold 60-Hz current required for ventricular fibrillation in subjects of various body weights, IEEE Trans Biomed Eng. 1973 Nov; 20 (6): 465-8.
[9] Ferris, L. P., King, B. G., Spence, P. W. and Williams, H. B., Effect of Electric Shock on the Heart, Bell System Technical Journal, (1936) 15: 455-468. doi: 10.1002/j.1538-7305.1936.tb03562.x.
[10] Sugimoto, T., Schaal, S. F., Wallace, A. G, Factors Determining Vulnerability to Ventricular Fibrillation Induced by 60-CPS Alternating Current, Circulation Research, (1967) doi: 10.1161/01RES.21.5.601.
[11] Lubbe, W. F., Bricknell, O. L., and Marzagao, C., Ventricular fibrillation threshold and vulnerable period in the isolated perfused rat heart, Cardiovascular Research, (1975) 9: 613-620.
[12] Kouwenhoven, W. B., Knickerbocker, G. G., Chestnut, R. W., Milnor, W. R. and Sass, D. J. Ac shocks of varying parameters affecting the heart, AIEE Trans. Communication and Electronics, (May 1959), 78, 163- 169.
[13] Kiselev, A. P. Threshold values of safe current at mains frequency. Problems of electrical equipment, electrical supply and electrical measurements (in Russian), Sbornik MIIT, (1963), 171, 47-58.
[14] Dalziel, C. F. and Lee, W. R. Reevaluation of lethal electric currents, Transactions of Institute of Electrical and Electronics Engineers, (1968).
[15] Knickerbocker et al., Fibrillating parameters of direct and alternating (20Hz) currents separately and in combination-an experimental study, IEEE Trans. Comm. COM-21 (9): 1015-1027, (1973).
[16] Jacobsen et al. Experimentelle Untersuchungen an Schweinen zur Frage der Mortalität durch sinusförmige, phasengeschnittene sowie gleichgerichtete elektrische Ströme, Biomed. Technik 20: 99-107, (1975).
[17] Roy et al. Intercardiac catheter fibrillation thresholds as a function of the duration of 60-Hz currents and electrode area, IEEE Trans. Bioded. Eng. BME-24 (5): 430-435, (1977).
[18] Hohnloser et al. Influence of direct current on the electrical activity on the heart and on its susceptibility to ventricular fibrillation, Basic Res. Cardiol. 77: 237-249, (1982).
[19] Antoni Pathophysiological basis of ventricular fibrillation, In J. F. Bridges, G. L. Ford, I. A. Sherman and U. Vainberg (eds.), Comprehensive Human Physiology. Springer- Verlag, Berlin: 1825-1842, (1985).
[20] Furman et al. Endocardial electrical threshold of human cardiac response as a function of electrode surface area, Digest 7th Int. Conf. Med. and Biol. Eng. Stockholm, Sweden Aug. 14-19, p. 71., (1967).
[21] Chen et al. Relationship between pacemaker fibrillation thresholds and electrode area, Med. Instrum. 9 (4): 165- 170, (1975).
[22] Roy Summary of cardiac fibrillation thresholds for 60-Hz currents and voltages applied directly to the heart, Med. Biol. Eng. Comput. 18: 657-659, (1980).
[23] Kieback Stromunfälle, Herzkammerflimmern und Letalität: Statistische Auswertungen von Kenndaten zu Stromunfällen und ihrer Letalität zur Beurteilung des Grenzrisikos für das Auftreten von Herzkammerflimmern beim Menschen, (2009).
[24] Roy et al. 60Hz ventricular fibrillation thresholds for large-surface-area electrodes, Med. Biol. Eng. Comput. 24: 471-474, (1986).
[25] Lapicque L (1907), J Physiol Pathol Generale 9: 567- 578, Figure 3.
[26] Galinanes, M., Hearse, D. J.,Species differences in susceptibility to ischemic injury and responsiveness to myocardial protection. Cardioscience 1990, 1 (2): 127- 43.
[27] Nerbonne, J. M., Molecular basis of functional voltage-gated K+ channel diversity in the mammalian myocardium. J Physiol 2000, 525 2: 285-98.
[28] Valentin, J. P., Hoffmann, P., De Clerck, F., Hammond, T. G., Hondeghem, L., Review of the predictive value of the Langendorff heart model (Screenit system) in assessing the proarrhythmic potential of drugs. J Pharmacol Toxicol Methods 2004, 49: 171-181.
[29] Hondeghem, L. M., Disturbances of cardiac wavelength and repolarization precede Torsade de Pointes and ventricular fibrillation in Langendorff perfused rabbit hearts.Prog Biophys Mol Biol 2016; 121 (1): 3-10.
[30] Jung, B., Odening, K. E., Dall’Armellina, E., Foell, D., Menza, M., Markl, M., Schneider, J. E., A quantitative comparison of regional myocardial motion in mice, rabbits and humans using in-vivo phase contrast CMR. J Cardiovasc Magn Reson 2012, 14: 87.
[31] Quinn, T. A., Kohl, P., Ravens, U., Cardiac mechano- electric coupling research: fifty years of progress and scientific innovation. Prog Biophys Mol Biol 2014; 115 (2-3): 71-5.
[32] Panescu, Kroll, Brave, Limitations of animal electrical cardiac safety models Annual Int. Conf Proc IEEE Eng Med Biol Soc. 2014.
Cite This Article
  • APA Style

    Michael Koch, Michael Bartonek, Jiri Silny, David Santer, Bruno Podesser. (2022). An In-vitro Method for Current Induced Ventricular Fibrillations. International Journal of Biomedical Science and Engineering, 10(1), 1-11. https://doi.org/10.11648/j.ijbse.20221001.11

    Copy | Download

    ACS Style

    Michael Koch; Michael Bartonek; Jiri Silny; David Santer; Bruno Podesser. An In-vitro Method for Current Induced Ventricular Fibrillations. Int. J. Biomed. Sci. Eng. 2022, 10(1), 1-11. doi: 10.11648/j.ijbse.20221001.11

    Copy | Download

    AMA Style

    Michael Koch, Michael Bartonek, Jiri Silny, David Santer, Bruno Podesser. An In-vitro Method for Current Induced Ventricular Fibrillations. Int J Biomed Sci Eng. 2022;10(1):1-11. doi: 10.11648/j.ijbse.20221001.11

    Copy | Download

  • @article{10.11648/j.ijbse.20221001.11,
      author = {Michael Koch and Michael Bartonek and Jiri Silny and David Santer and Bruno Podesser},
      title = {An In-vitro Method for Current Induced Ventricular Fibrillations},
      journal = {International Journal of Biomedical Science and Engineering},
      volume = {10},
      number = {1},
      pages = {1-11},
      doi = {10.11648/j.ijbse.20221001.11},
      url = {https://doi.org/10.11648/j.ijbse.20221001.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbse.20221001.11},
      abstract = {The motivation of the current study was to provide threshold values of rabbit hearts for ventricular fibrillation (vf) induced by electric current of 50Hz and to develop a flexible but robust experimental setup for stimulation experiments on the beating heart. The stimulation was performed in a way that the current flow through the heart is nearly homogeneous, similar to the situation of an electrical accident. In this way the work should also serve as a basis for future vf-related investigations, e.g. sine waves from 10Hz up to 10kHz, mixed signals, current pulses and pure DC. One of the main objectives was to avoid deviations of the data due to inappropriate experimental methods, such like direct contact of the heart tissue or interferences from the nervous system which one get from whole animal experiments. The work should additionally give the proper setup to gather the necessary data for transformations of animal data to human data. First an experimental procedure and setup for hearts of small animals that fulfills most important requirements for stimulation of the myocardium and the measurement of various heart parameters in a repeatable way was developed. In this way specific stimulation experiments were performed on rabbit hearts in an ejecting, blood-perfused isolated heart model to determine the threshold values for vf at 50Hz. Additional experiments to determine the electrical field inside and outside of the heart as well as the dependency of different stimuli modes (T-wave trigger, stimulation for several periods) have been conducted. In the verification with a frequency of 50Hz, current density of (7,3 ± 3,8)mA/cm2 results as a mean threshold of ventricular fibrillation from 143 experiments. Finally a comparison to other research works in this field was performed to show the advantages and disadvantages of the respective approaches.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - An In-vitro Method for Current Induced Ventricular Fibrillations
    AU  - Michael Koch
    AU  - Michael Bartonek
    AU  - Jiri Silny
    AU  - David Santer
    AU  - Bruno Podesser
    Y1  - 2022/01/18
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijbse.20221001.11
    DO  - 10.11648/j.ijbse.20221001.11
    T2  - International Journal of Biomedical Science and Engineering
    JF  - International Journal of Biomedical Science and Engineering
    JO  - International Journal of Biomedical Science and Engineering
    SP  - 1
    EP  - 11
    PB  - Science Publishing Group
    SN  - 2376-7235
    UR  - https://doi.org/10.11648/j.ijbse.20221001.11
    AB  - The motivation of the current study was to provide threshold values of rabbit hearts for ventricular fibrillation (vf) induced by electric current of 50Hz and to develop a flexible but robust experimental setup for stimulation experiments on the beating heart. The stimulation was performed in a way that the current flow through the heart is nearly homogeneous, similar to the situation of an electrical accident. In this way the work should also serve as a basis for future vf-related investigations, e.g. sine waves from 10Hz up to 10kHz, mixed signals, current pulses and pure DC. One of the main objectives was to avoid deviations of the data due to inappropriate experimental methods, such like direct contact of the heart tissue or interferences from the nervous system which one get from whole animal experiments. The work should additionally give the proper setup to gather the necessary data for transformations of animal data to human data. First an experimental procedure and setup for hearts of small animals that fulfills most important requirements for stimulation of the myocardium and the measurement of various heart parameters in a repeatable way was developed. In this way specific stimulation experiments were performed on rabbit hearts in an ejecting, blood-perfused isolated heart model to determine the threshold values for vf at 50Hz. Additional experiments to determine the electrical field inside and outside of the heart as well as the dependency of different stimuli modes (T-wave trigger, stimulation for several periods) have been conducted. In the verification with a frequency of 50Hz, current density of (7,3 ± 3,8)mA/cm2 results as a mean threshold of ventricular fibrillation from 143 experiments. Finally a comparison to other research works in this field was performed to show the advantages and disadvantages of the respective approaches.
    VL  - 10
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Eaton Industries, Vienna, Austria

  • Eaton Industries, Vienna, Austria

  • Femu, Rheinisch-Westfä

  • Ludwig Boltzmann Institute for Cardiovascular Research, Ludwig Boltzmann Gesellschaft, Vienna, Austria

  • Ludwig Boltzmann Institute for Cardiovascular Research, Ludwig Boltzmann Gesellschaft, Vienna, Austria

  • Sections