Individuals with cardiomyopathy are at higher risk to die from sudden cardiac arrest than those with non-failing (NF) hearts. This study examined the differences in electrical properties of failing and NF human hearts in terms of cardiac memory through explicit control of diastolic intervals in a sinusoidal fashion, restitution of action potential duration (APD) through standard and dynamic pacing protocols, maximum rate of depolarization and APD alternans. Recordings of transmembrane potentials were made in tissues extracted from patients with heart failure and one donor NF heart. Computational simulations were performed using the O’Hara Rudy model for generating surrogates of control data. Significant differences were seen between left ventricular (LV) tissue and NF LV tissue in tilt, and measures of memory in terms of area and thickness during the sinusoidal 400ms protocol. Minimum delay was also significantly higher in the failing LV during the sinusoidal 150ms protocol. Failing tissues showed a higher restitution slope and prolonged AP which is consistent with previous studies and is hypothesized to contribute to the increased susceptibility to unstable alternans. This study further explored how disease alters the electrical functioning of the heart and why these patients are at a higher risk of ventricular arrhythmia.

<p>Deep brain stimulation (DBS) is an established surgical therapy for movement disorders. The mechanisms of action of DBS remain unclear, and selection of stimulation parameters is a clinical challenge and can result in sub-optimal outcomes. Closed-loop DBS systems would use a feedback control signal for automatic adjustment of DBS parameters and improved therapeutic effectiveness. We hypothesized that evoked compound action potentials (ECAPs), generated by activated neurons in the vicinity of the stimulating electrode, would reveal the type and spatial extent of neural activation, as well as provide signatures of clinical effectiveness. The objective of this dissertation was to record and characterize the ECAP during DBS to determine its suitability as a feedback signal in closed-loop systems. The ECAP was investigated using computer simulation and <italic>in vivo</italic> experiments, including the first preclinical and clinical ECAP recordings made from the same DBS electrode implanted for stimulation. </p><p>First, we developed DBS-ECAP recording instrumentation to reduce the stimulus artifact and enable high fidelity measurements of the ECAP at short latency. <italic>In vitro</italic> and <italic>in vivo</italic> validation experiments demonstrated the capability of the instrumentation to suppress the stimulus artifact, increase amplifier gain, and reduce distortion of short latency ECAP signals.</p><p>Second, we characterized ECAPs measured during thalamic DBS across stimulation parameters in anesthetized cats, and determined the neural origin of the ECAP using pharmacological interventions and a computer-based biophysical model of a thalamic network. This model simulated the ECAP response generated by a population of thalamic neurons, calculated ECAPs similar to experimental recordings, and indicated the relative contribution from different types of neural elements to the composite ECAP. Signal energy of the ECAP increased with DBS amplitude or pulse width, reflecting an increased extent of activation. Shorter latency, primary ECAP phases were generated by direct excitation of neural elements, whereas longer latency, secondary phases were generated by post-synaptic activation.</p><p>Third, intraoperative studies were conducted in human subjects with thalamic DBS for tremor, and the ECAP and tremor responses were measured across stimulation parameters. ECAP recording was technically challenging due to the presence of a wide range of stimulus artifact magnitudes across subjects, and an electrical circuit equivalent model and finite element method model both suggested that glial encapsulation around the DBS electrode increased the artifact size. Nevertheless, high fidelity ECAPs were recorded from acutely and chronically implanted DBS electrodes, and the energy of ECAP phases was correlated with changes in tremor. </p><p>Fourth, we used a computational model to understand how electrode design parameters influenced neural recording. Reducing the diameter or length of recording contacts increased the magnitude of single-unit responses, led to greater spatial sensitivity, and changed the relative contribution from local cells or passing axons. The effect of diameter or contact length varied across phases of population ECAPs, but ECAP signal energy increased with greater contact spacing, due to changes in the spatial sensitivity of the contacts. In addition, the signal increased with glial encapsulation in the peri-electrode space, decreased with local edema, and was unaffected by the physical presence of the highly conductive recording contacts.</p><p>It is feasible to record ECAP signals during DBS, and the correlation between ECAP characteristics and tremor suggests that this signal could be used in closed-loop DBS. This was demonstrated by implementation in simulation of a closed-loop system, in which a proportional-integral-derivative (PID) controller automatically adjusted DBS parameters to obtain a target ECAP energy value, and modified parameters in response to disturbances. The ECAP also provided insight into neural activation during DBS, with the dominant contribution to clinical ECAPs derived from excited cerebellothalamic fibers, suggesting that activation of these fibers is critical for DBS therapy.</p> / Dissertation

The aim of this work was to compile a comprehensive list of methods that deal with the research of voltage on the cell membrane. The work should help in orientation in these methods, as well as understanding of their physical and biological principle. In the first part is analysis of physical properties of membrane potential; in the second part are the most important methods for measuring membrane potential. Very important is the comparison of these methods in terms of their focus, localization, physical demands or in terms degree of damage of object under examination.

abstract: Recent new experiments showed that wide-field imaging at millimeter scale is capable of recording hundreds of neurons in behaving mice brain. Monitoring hundreds of individual neurons at a high frame rate provides a promising tool for discovering spatiotemporal features of large neural networks. However, processing the massive data sets is impossible without automated procedures. Thus, this thesis aims at developing a new tool to automatically segment and track individual neuron cells. The new method used in this study employs two major ideas including feature extraction based on power spectral density of single neuron temporal activity and clustering tree to separate overlapping cells. To address issues associated with high-resolution imaging of a large recording area, focused areas and out-of-focus areas were analyzed separately. A static segmentation with a fixed PSD thresholding method is applied to within focus visual field. A dynamic segmentation by comparing maximum PSD with surrounding pixels is applied to out-of-focus area. Both approaches helped remove irrelevant pixels in the background. After detection of potential single cells, some of which appeared in groups due to overlapping cells in the image, a hierarchical clustering algorithm is applied to separate them. The hierarchical clustering uses correlation coefficient as a distance measurement to group similar pixels into single cells. As such, overlapping cells can be separated. We tested the entire algorithm using two real recordings with the respective truth carefully determined by manual inspections. The results show high accuracy on tested datasets while false positive error is controlled within an acceptable range. Furthermore, results indicate robustness of the algorithm when applied to different image sequences. / Dissertation/Thesis / Masters Thesis Electrical Engineering 2016

Esta tese refere-se a pesquisa cujo o principal objetivo foi estudar os efeitos da sinalização elétrica sobre parâmetros fisiológicos de trocas gasosas e fluorescência da clorofila, bem como caracterizar e identificar rotas de propagação de sinais elétricos desencadeados por estímulos de queima em plantas de girassol. Os resultados obtidos a partir deste estudo demonstram que os sinais elétricos desencadeados por estímulo de queima podem ser classificados como potenciais de variação (PV). Estes sinais apresentaram maior facilidade de propagação no eixo vertical da planta atingindo folhas intactas que provavelmente possuem conexão vascular com a folha de estímulo. Apresentaram maior número de eventos de propagação na direção acrópeta da planta e foram incapazes de propagar-se lateralmente não atingindo folhas opostas à de estímulo. Nas folhas opostas onde não houve propagação de PVs foi registrada a ocorrência de hiperpolarização de membranas característica de potencial sistêmico (PS). Quanto aos efeitos fisiológicos do PV, observou-se que este promoveu redução na assimilação líquida de CO2 (A) que provavelmente está relacionada a inativação da fase não fotoquímica da fotossíntese, uma vez que, esteve acompanhada de queda da dissipação fotoquímica dos fotossistemas (qP) e da taxa de transporte de elétrons (ETR). Embora tenha sido registrada alterações na condutância estomática (gs), na concentração intercelular de CO2 (Ci), elevação da dissipação não fotoquímica (qN) e queda na eficiência quântica efetiva do fotossistema II (&Phi;FSII), estes não foram responsáveis pela queda de A, uma vez que, foram registrados posteriormente a sua redução. / This thesis mainly aimed to study the effects of electrical signaling on physiological parameters of gas exchange and chlorophyll fluorescence, and to characterize and identify route propagation of electrical signals triggered by burning stimuli in sunflower plants. The results from this study demonstrate that the electrical signals triggered by burning stimulus can be classified as variation potentials (VP). These signals showed greater ease of propagation in the vertical axis of the plant, reaching intact leaves that are likely to have vascular connection with the stimulus leaf. They presented greater ease of propagation in acropetal direction of the plant and are unable to spread laterally, not reaching leaves opposed to the stimulus. On opposed leaves, where there was no VPs propagation, it was recorded the occurrence of membrane hyperpolarization of systemic potential (PS). Concerning the physiological effects of PV, it was observed that this promoted a reduction in the liquid CO2 assimilation (A) which is probably related to the inactivation of non-photochemical phase of the photosynthesis, since it was accompanied by the decrease of the photochemical dissipation of the photosystems (qP) and the electron transport rate (ETR). Although changes were recorded in stomatal conductance (gs), CO2 intercellular concentration (Ci), increase of nonphotochemical dissipation (qN) and a decrease in the effective quantum efficiency of the photosystem II (&Phi; FSII) were not responsible for the A fall, since its reduction was subsequently reported.

Uma propriedade fundamental dos seres vivos é a condução de sinais elétricos através de seus tecidos. Mas esse fato pouco é lembrado quando se trata de organismos vegetais. Outro item fundamental é a geração de sinais que possam transmitir informações entre os tecidos e órgãos para um ajuste fino do metabolismo. Nas plantas esses sinais podem ser de natureza química, hidráulica e elétrica. Nesse último caso são conhecidos potenciais de ação (PA), de variação (PV), de ferimentos (WP) e sistêmicos (SP), cada um com sua particularidade quanto à amplitude, velocidade e rotas de propagação, bem como seu papel no metabolismo. Os sinais elétricos podem afetar a respiração, fotossíntese, absorção de água, ativação de genes e fechamento de folhas de plantas insetívoras. PAs podem se propagar com velocidade relativamente constante e sem decréscimo. Eles seguem a lei do tudo-ou-nada, ou seja, todo estímulo que desencadeia um PA deve atingir um limiar de excitação para desencadear o sinal. Assim que o limiar é atingido o sinal se autoperpetua ao passo que estímulos supra limiares desencadeiam PAs de amplitude constante. A via de propagação do PA é o vaso do floema. O objetivo do presente trabalho foi avaliar a sinalização elétrica em resposta à irrigação em plantas de girassol sob déficit hídrico e caracterizar esse sinal quanto à amplitude, duração, velocidade e direção de propagação. Para tanto 37 plantas foram avaliadas por meio de eletrodos extracelulares. Elas foram monitoras eletrofisiologicamente durante um período em que eram irrigadas e em um período sob déficit hídrico. Desse montante, onze responderam à irrigação pela geração de potenciais de ação (PA), ou seja, 30% delas. Oito delas geraram PAs em direção ao ápice (propagação acrópeta) enquanto duas geraram na direção basípeta. Uma delas gerou nos dois sentidos. O PA foi gerado também pós-irrigação mesmo com a planta não tendo passado por déficit hídrico, porém só aconteceu em uma das onze plantas. Os sinais se propagaram no caule, pecíolo e nervura central das folhas. O potencial de ação é gerado após irrigação em plantas de girassol com maior frequência quando elas passam por período de déficit hídrico e se propagam por toda a planta. Isso evidencia o papel do PA na sinalização de longa distância nos vegetais. / A fundamental property in the leaving beings is the conduction of electrical signals through their tissues. However, this fact is not always remembered when it comes to plant organisms. Another key process is the generation of signals that can transmit information among tissues and organs to a fine-tuning of the metabolism. In plants, these signals can be chemical, hydraulic and electrical. Concerning the last one, action potentials (AP), variation potentials (VP), wound potentials (WP) and system potentials (SP) are known; each one with its particularity regarding amplitude, velocity and propagation routes as well as its role in metabolism. The electrical signals may affect respiration, photosynthesis, water uptake, activation of genes and leaf closure in insectivorous plants. APs can spread with relatively constant speed and no decrement. They follow the all-or-nothing law, in another words, every stimulus that triggers an AP must reach a threshold to trigger the signal. Once the threshold is reached, the signal is self-perpetuating while stimuli above threshold trigger APs with constant amplitude. The propagation path of the AP is the phloem vessel. The aim of this work was to evaluate the electrical signaling in response to irrigation in sunflower plants under water deficit and characterize the AP regarding its amplitude, duration, velocity and propagation direction. Thirty seven plants were analyzed using extracellular electrodes. They were electrophysiologically monitored during a period when irrigated and in a period under drought. Eleven plants generated AP after irrigation, i.e. 30%. Eight of them generated AP that propagated acropetally while two generated in basipetal direction. One generated in both directions. The action potential was also generated in a plant that was not under drought stress, however it just happened in one of the eleven plants. The signals propagated in the stem, petiole and midrib of the leaves. The action potential is generated after irrigation in sunflower plants more frequently when they go through a period of water deficit and propagate throughout the plant. This highlights the role of AP in long-distance signaling in plants.

Cardiovascular diseases form one of the most dangerous events that affect human life. They are usually the result of high blood pressure. Thus controlling blood pressure within patient specific healthy limits is a goal that we must target. There are two control loops for blood haemostasis inside the body either long term or short term. Baroreceptors control the short term blood pressure regulation. They are nerve endings that exist in certain locations within the blood vessel walls and they report blood pressure into the brain and the central nervous system. However the basics of their function are not yet known. We propose here that the baroreceptors work by converting circumferential and axial pressure into a stress into their respective direction and they start to send nerve signals based on a threshold of strain energy of the location they are embedded in. Thus baroreceptors A fibre is highly likely to exist in the stiffer adventitia, while the media will contain C fibres. This explains the reason behind having identical fibres with different threshold. We were able to arrive to this solution by getting a relationship between stress–strain relationship for the whole wall and for the arterial vessels. These findings are quiet significant as they allow a method to identify different stress in the arterial wall layers using whole wall experimental data and also as they were able to differentiate between different fibres based on their locations inside the arterial wall. A complete modelling of the baroreceptors function might lead to the formation of biosynthetic material that could interact with the body on the cellular level, so as to give humans the mean to the control of short term blood regulation thus preventing hypertension and its accompanying diseases such as atherosclerosis.

[EN] Heart failure (HF) constitutes a major public health problem worldwide. Operationally it is defined as a clinical syndrome characterized by the marked and progressive inability of the ventricles to fill and generate adequate cardiac output to meet the demands of cellular metabolism that may have significant variability in its etiology and it is the final common pathway of various cardiac pathologies. Much attention has been paid to the understanding of the arrhythmogenic mechanisms induced by the structural, electrical, and metabolic remodeling of the failing heart. Due to the complexity of the electrophysiological changes that may occur during heart failure, the scientific literature is complex and sometimes equivocal. Nevertheless, a number of common features of failing hearts have been documented. At the cellular level, prolongation of the action potential (AP) involving ion channel remodeling and alterations in calcium handling have been established as the hallmark characteristics of myocytes isolated from failing hearts. At the tissue level, intercellular uncoupling and fibrosis are identified as major arrhythmogenic factors. In this Thesis a computational model for cellular heart failure was proposed using a modified version of Grandi et al. model for human ventricular action potential that incorporates the formulation of the late sodium current (INaL) in order to study the arrhythmogenic processes due to failing phenotype. Experimental data from several sources were used to validate the model. Due to extensive literature in the subject a sensitivity analysis was performed to assess the influence of main ionic currents and parameters upon most related biomarkers. In addition, multiscale simulations were carried out to characterize this pathology (transmural cardiac fibres and tissues). The proposed model for the human INaL and the electrophysiological remodeling of myocytes from failing hearts accurately reproduce experimental observations. An enhanced INaL appears to be an important contributor to the electrophysiological phenotype and to the dysregulation of calcium homeostasis of failing myocytes. Our strand simulation results illustrate how the presence of M cells and heterogeneous electrophysiological remodeling in the human failing ventricle modulate the dispersion of action potential duration (APD) and repolarization time (RT). Conduction velocity (CV) and the safety factor for conduction (SF) were also reduced by the progressive structural remodeling during heart failure. In our transmural ventricular tissue simulations, no reentry was observed in normal conditions or in the presence of HF ionic remodeling. However, defined amount of fibrosis and/or cellular uncoupling were sufficient to elicit reentrant activity. Under conditions where reentry was generated, HF electrophysiological remodeling did not alter the width of the vulnerable window (VW). However, intermediate fibrosis and cellular uncoupling significantly widened the VW. In conclusion, enhanced fibrosis in failing hearts, as well as reduced intercellular coupling, combine to increase electrophysiological gradients and reduce electrical propagation. In that sense, structural remodeling is a key factor in the genesis of vulnerability to reentry, mainly at intermediates levels of fibrosis and intercellular uncoupling. / [ES] La insuficiencia cardíaca (IC) constituye un importante problema de salud pública en todo el mundo. Operacionalmente se define como un síndrome clínico caracterizado por la incapacidad marcada y progresiva de los ventrículos para llenar y generar gasto cardíaco adecuado para satisfacer las demandas del metabolismo celular, que puede tener una variabilidad significativa en su etiología y es la vía final común de varias patologías cardíacas. Se ha prestado mucha atención a la comprensión de los mecanismos arritmogénicos inducidos por la remodelación estructural, eléctrica, y metabólica del corazón afectado de IC. Debido a la complejidad de los cambios electrofisiológicos que pueden ocurrir durante la IC, la literatura científica es compleja y, a veces equívoca. Sin embargo, se han documentado una serie de características comunes en corazones afectados de IC. A nivel celular, se han establecido como las características distintivas de los miocitos aislados de corazones afectados de IC la prolongación del potencial de acción (PA), que implica la remodelación de los canales iónicos y las alteraciones en la dinámica del calcio. A nivel de los tejidos, el desacoplamiento intercelular y la fibrosis se identifican como los principales factores arritmogénicos. En esta tesis se propuso un modelo celular computacional para la insuficiencia cardíaca utilizando una versión modificada del modelo de potencial de acción ventricular humano de Grandi y colaboradores que incorpora la formulación de la corriente tardía de sodio (INaL) con el fin de estudiar los procesos arritmogénicas debido al fenotipo de la IC. Los datos experimentales de varias fuentes se utilizaron para validar el modelo. Debido a la extensa literatura en la temática se realizó un análisis de sensibilidad para evaluar la influencia de las principales corrientes iónicas y los parámetros sobre los biomarcadores relacionados. Además, se llevaron a cabo simulaciones multiescala para caracterizar esta patología (en fibras y tejidos transmurales). El modelo propuesto para la corriente tardía de sodio y la remodelación electrofisiológica de los miocitos de corazones afectados de IC reprodujeron con precisión las observaciones experimentales. Una INaL incrementada parece ser un importante contribuyente al fenotipo electrofisiológico y la desregulación de la homeostasis del calcio de los miocitos afectados de IC. Nuestros resultados de la simulaciones en fibra ilustran cómo la presencia de células M y el remodelado electrofisiológico heterogéneo en el ventrículo humano afectado de IC modulan la dispersión de la duración potencial de acción (DPA) y el tiempo de repolarización (TR). La velocidad de conducción (VC) y el factor de seguridad para la conducción (FS) también se redujeron en la remodelación estructural progresiva durante la insuficiencia cardíaca. En nuestras simulaciones transmurales de tejido ventricular, no se observó reentrada en condiciones normales o en presencia de la remodelación iónica de la IC. Sin embargo, determinadas cantidades de fibrosis y / o desacoplamiento celular eran suficientes para provocar la actividad reentrante. En condiciones donde se había generado la reentrada, el remodelado electrofisiológico de la IC no alteró la anchura de la ventana vulnerable (VV). Sin embargo, niveles intermedios de fibrosis y el desacoplamiento celular ampliaron significativamente la VV. En conclusión, niveles elevados de fibrosis en corazones afectados de IC, así como la reducción de acoplamiento intercelular, se combinan para aumentar los gradientes electrofisiológicos y reducir la propagación eléctrica. En ese sentido, la remodelación estructural es un factor clave en la génesis de la vulnerabilidad a las reentradas, principalmente en niveles intermedios de fibrosis y desacoplamiento intercelular. El remodelado electrofisiológico promueve la arritmogénesis y puede ser alterado dependi / [CAT] La insuficiència cardíaca (IC) constitueix un important problema de salut pública arreu del món. A efectes pràctics, es defineix com una síndrome clínica caracteritzada per la incapacitat marcada i progressiva dels ventricles per omplir i generar el cabal cardíac adequat, per tal de satisfer les demandes del metabolisme cel·lular, el qual pot tenir una variabilitat significativa en la seua etiologia i és la via final comuna de diverses patologies cardíaques. S'ha prestat molta atenció a la comprensió dels mecanismes aritmogènics induïts per la remodelació estructural, elèctrica, i metabòlica del cor afectat d'IC. A causa de la complexitat dels canvis electrofisiològics que poden ocórrer durant la IC, trobem que la literatura científica és complexa i, de vegades, equívoca. No obstant això, s'han documentat una sèrie de característiques comunes en cors afectats d'IC. A nivell cel·lular, com característiques distintives dels miòcits aïllats de cors afectats d'IC, s'han establert la prolongació del potencial d'acció (PA), que implica la remodelació dels canals iònics, i les alteracions en la dinàmica del calci. A nivell dels teixits, el desacoblament intercel·lular i la fibrosi s'identifiquen com els principals factors aritmogènics. Per tal d'estudiar els processos aritmogènics a causa del fenotip de la IC, es va proposar un model cel·lular computacional d'IC utilitzant una versió modificada del model de potencial d'acció ventricular humà de Grandi i els seus col·laboradors, el qual incorpora la formulació del corrent de sodi tardà (INaL). Amb l'objectiu de validar el model es van utilitzar dades experimentals de diverses fonts. A causa de l'extensa literatura en la temàtica, es va realitzar una anàlisi de sensibilitat per tal d'avaluar la influència de les principals corrents iòniques i els paràmetres sobre els biomarcadors relacionats. A més, es van dur a terme simulacions multiescala per a la caracterització d'aquesta patología (fibres i teixits transmurals). El model proposat per al corrent de sodi tardà i la remodelació electrofisiològica dels miòcits de cors afectats d'IC van reproduir amb precisió les observacions experimentals. Una INaL incrementada sembla contribuir de manera important al fenotip electrofisiològic i a la desregulació de l'homeòstasi del calci dels miòcits afectats d'IC. Els resultats de les nostres simulacions en fibra indiquen que la presència de cèl·lules M i el remodelat electrofisiològic heterogeni en el ventricle humà afectat d'IC modulen la dispersió de la durada del potencial d'acció (DPA) i el temps de repolarització (TR). La velocitat de conducció (VC) i el factor de seguretat per a la conducció (FS) també es van reduir en la remodelació estructural progressiva durant la IC. A les nostres simulacions transmurals de teixit ventricular, no s'observà cap reentrada ni en condicions normals ni en presència de la remodelació iònica de la IC. No obstant això, amb determinades quantitats de fibrosi i/o desacoblament cel·lular sí que es provocà l'activitat reentrant. I amb les condicions que produïren la reentrada, el remodelat electrofisiològic de la IC no va alterar l'amplada de la finestra vulnerable (FV). Tanmateix, nivells intermedis de fibrosi i el desacoblament cel·lular sí que ampliaren significativament la FV. En conclusió, nivells elevats de fibrosi en cors afectats d'IC, així com la reducció d'acoblament intercel·lular, es combinen per augmentar els gradients electrofisiològics i reduir la propagació elèctrica. Per tant, la remodelació estructural és un factor clau en la gènesi de la vulnerabilitat a les reentrades, principalment en nivells intermedis de fibrosi i desacoblament intercel·lular. / Gómez García, JF. (2015). Multiscale Modeling and Simulation of Human Heart Failure [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/52389 / TESIS

No description available.

This project deals with anatomy and electrophysiology of heart. It describes the structure of cardiac muscle, mechanism of myocard's contraction, heart work, the origin and registration of electric signals of heart – electrocardiogram (ECG) and vectorcardiogram (VCG). Part of the work is design and creation of a software application for calculation and graphical presentation of vectorcardograms, useful for experimental data available on ÚBMI VUT in Brno.