Cain John W, Tolkacheva Elena G, Schaeffer David G, Gauthier Daniel J
Department of Mathematics, Duke University, Durham, North Carolina 27708, USA.
Phys Rev E Stat Nonlin Soft Matter Phys. 2004 Dec;70(6 Pt 1):061906. doi: 10.1103/PhysRevE.70.061906. Epub 2004 Dec 15.
Action potential duration (APD) restitution, which relates APD to the preceding diastolic interval (DI), is a useful tool for predicting the onset of abnormal cardiac rhythms. However, it is known that different pacing protocols lead to different APD restitution curves (RCs). This phenomenon, known as APD rate dependence, is a consequence of memory in the tissue. In addition to APD restitution, conduction velocity restitution also plays an important role in the spatiotemporal dynamics of cardiac tissue. We present results concerning rate-dependent restitution in the velocity of propagating action potentials in a one-dimensional fiber. Our numerical simulations show that, independent of the amount of memory in the tissue, the wave-back velocity exhibits pronounced rate dependence and the wave-front velocity does not. Moreover, the discrepancy between wave-back velocity RCs is most significant for a small DI. We provide an analytical explanation of these results, using a system of coupled maps to relate the wave-front and wave-back velocities. Our calculations show that rate-dependent wave-back velocity can be present even if neither APD nor wave-front velocity exhibits rate dependence.
动作电位时程(APD)恢复,即APD与前一个舒张期间期(DI)的关系,是预测异常心律发作的有用工具。然而,已知不同的起搏方案会导致不同的APD恢复曲线(RCs)。这种现象,即所谓的APD频率依赖性,是组织中记忆的结果。除了APD恢复外,传导速度恢复在心脏组织的时空动力学中也起着重要作用。我们给出了关于一维纤维中传播动作电位速度的频率依赖性恢复的结果。我们的数值模拟表明,与组织中的记忆量无关,波后速度表现出明显的频率依赖性,而波前速度则没有。此外,对于较小的DI,波后速度RCs之间的差异最为显著。我们使用耦合映射系统来关联波前速度和波后速度,对这些结果进行了分析解释。我们的计算表明,即使APD和波前速度都不表现出频率依赖性,频率依赖性波后速度也可能存在。