Proposed and tested an algorithm for diagnosis of Moebius strip like pathology, as prerequisite for treatment correction. The algorithm is reduced to initialization of study objects as a Moebius strip, in particular symptoms, syndromes, diseases, multimorbid states; clarification of investigation objects as non-orientable two-dimensional surface; cutting a Moebius strip like clinical data, variability to form two disjoint Moebius strips; clarification of chirality Moebius strip turn; the determination of Moebius strip like constituents as the object of research and their 3D representation; clarification of Moebius strips turn chiralities of constituents; the adoption of diagnostic and therapeutic solutions based on geometry of the pathogenetic and sanogenetic mechanisms. Thus, our algorithm may be basis for making diagnosis and treatment decision.
Prerequisites of the application of Moebius strip like pathology mechanisms:
It’s known the Moebius strip like space orientation of depolarization processes were characterized by the change of supraventricular pacemaker on ventricular and inverse. Moebius strip like arrhythmias in the patients with sinus node dysfunction were displayed as a combination of supraventricular and ventricular extrasystoles, fibrillation and flutter transformation from atria to ventricles [1].
The patients with complete atrioventricular block had the Moebius strip like changes of depolarization / repolarization geometry, as the alternation of proximal and distal ventricular rhythms.
The specifics of the geometry of depolarization and repolarization processes in the patients with full atrioventricular block or binodal syndrome may be considered in elaborating differential treatment programs to be used in microcomputers for implantable cardiac pacemakers.
Analysis of the cardiac depolarization / repolarization geometry may serve as additional criteria for sudden death prognosis .
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