2026-04-13T13:16:52Zhttps://recercat.cat/oai/request

oai:recercat.cat:2117/1160972025-07-17T08:43:05Zcom_2072_1033col_2072_452950

Huge reduction of defibrillation thresholds using four electrode defibrillators Simic, Ana Rodríguez Cantalapiedra, Inma Elorza Barbajero, Jorge Bragard, Jean Àrees temàtiques de la UPC::Física Defibrillators defibrillation thresholds defibrillators Desfibril·ladors In the absence of a better solution, ventricular fibril- lation is treated by applying one or several large electri- cal shocks to the patient. The question of how to lower the energy required for a successful shock is still a cur- rent issue in both fundamental research and clinical prac- tice. In the study presented here we will compare defib- rillation applied through a four electrode device with the standard procedure using two electrodes. The method is tested through intensive numerical simulations. Here we have used a one dimensional geometry. At the level of the cardiac tissue, the bidomain and the modified Beeler- Reuter models were used. Three different shock waveforms are tested: monophasic and two types of biphasic shocks. The results are compared with those obtained with stan- dard two electrode device. A significant reduction in de- fibrillation thresholds is achieved for all the three tested waveforms when we use a four electrode device. Postprint (published version) 2015-01-02 Article http://www.cinc.org/archives/2014/pdf/0505.pdf http://creativecommons.org/licenses/by-nc-nd/3.0/es/ Open Access Attribution-NonCommercial-NoDerivs 3.0 Spain