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. Author manuscript; available in PMC: 2014 May 1.
Published in final edited form as: Neurogastroenterol Motil. 2013 Mar 12;25(5):e304–e314. doi: 10.1111/nmo.12085

Table 1.

Glossary of terms used to describe intestinal slow wave propagation and re-entry. Several cardiac electrophysiology terms (25),(28) have been adapted to describe similar phenomena in the intestine.

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).