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Circulation. 2003;108:1784-1789
doi: 10.1161/01.CIR.0000091402.34219.6C
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(Circulation. 2003;108:1784.)
© 2003 American Heart Association, Inc.


Review: Current Perspective

Cardiac Memory and Cortical Memory

Do Learning Patterns in Neural Networks Impact on Cardiac Arrhythmias?

Michael R. Rosen, MD; Ofer Binah, PhD; Shimon Marom, PhD

From the Departments of Pharmacology and Pediatrics, Center for Molecular Therapeutics, New York, NY (M.R.R.), and Technion-Israel Institute of Technology, Haifa, Israel (O.B., S.M.).

Correspondence to Michael R. Rosen, MD, Gustavus A. Pfeiffer Professor of Pharmacology, Professor of Pediatrics, College of Physicians and Surgeons of Columbia University, Department of Pharmacology, 630 W 168 St, PH 7West-321, New York, NY 10032. E-mail mrr1{at}columbia.edu

Received May 5, 2003; revision received June 17, 2003; accepted June 17, 2003.

Memory is a property of diverse biological systems, including brain and heart. Studies in cortical neuronal networks have identified an increased sensitivity to infrequent (rare) stimulation patterns that can result in their achieving dominance over network firing. This adaptive behavior is applied to the heart in an attempt to explain the ability of pulmonary venous and other ectopic foci to achieve dominance over cardiac rhythm. Developmental changes in determinants of cardiac rhythm are explored as possible determinants of the range of rhythms expressed by the heart. By understanding the mechanisms for these behavior patterns, we may obtain new means for manipulating memory to return dysrhythmic hearts to normal sinus rhythm.


Key Words: tachyarrhythmia • nervous system • atrium • heart rate




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