Table 1.
Terminology | Description |
---|---|
Leading Edge | Depolarized / excited tissue at the front of a
propagating slow wave wavefront. |
Refractory Tail | Depolarized tissue behind the leading edge of
a slow wave that is unable to be excited. |
Wavefront Spacing | The distance between two successive wavefronts. |
Anisotropic Conduction | A propagation profile that is directionally
non-uniform. In the case of gastric and intestinal slow waves, anisotropic conduction manifests as circumferential propagation being faster than longitudinal propagation (36). |
Conduction Block | Abnormal termination of a propagating
wavefront, for example when refractory tissue or a structural defect is encountered. |
Functional Block | A specific type of conduction block resulting
from dynamic interactions between the leading edge and refractory tissue rather than by anatomical means. |
Focal Pacemaker | Slow wave/s arising from a point-source and
propagating in all directions, colliding in the opposite aspect of the intestine circumferentially, and forming rings of activation propagating longitudinally. |
Re-entry | A slow wave propagation pattern where slow
wave activity propagates in a circuit around a defined obstacle, forming a loop pattern of activation and re-activating that circuit over successive cycles. |
Excitable Gap | A section of excitable tissue between the
refractory tail of one cycle of re-entry and the leading edge of the following cycle. The presence of an excitable gap is necessary to maintain re- entry, as re-entry will terminate if there is a collision between the leading edge and refractory tail. The size of the excitable gap is governed by the size of the re-entrant circuit, the slow wave velocity, and the refractory period. |
Anatomical Re-entry | A type of re-entry where a structural feature
forms the obstacle around which slow wave activity establishes a re- entrant loop (27). |
Circumferential Re-entry | A specific type of anatomical re-entry where
the intestinal lumen forms the anatomical obstacle around which slow wave activation establishes a re-entrant loop. |
Functional Re-entry | A type of re-entry where a functional
conduction block forms the obstacle around which slow wave activation establishes a re-entrant loop of propagation (24)(25). |
Figure-of-Eight Re-entry | A variant of functional re-entry where a
common wavefront divides into clockwise and anticlockwise wavelets that propagate around separate functional blocks before rejoining, forming a re-entrant circuit in a figure-of-eight pattern (26). |