Henry Hervé, Rappel Wouter-Jan
Center for Theoretical Biological Physics, University of California-San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA.
Phys Rev E Stat Nonlin Soft Matter Phys. 2005 May;71(5 Pt 1):051911. doi: 10.1103/PhysRevE.71.051911. Epub 2005 May 31.
We study numerically the dynamics of conduction blocks using a detailed electrophysiological model. We find that this dynamics depends critically on the size of the paced region. Small pacing regions lead to stationary conduction blocks while larger pacing regions can lead to conduction blocks that travel periodically towards the pacing region. We show that this size-dependence dynamics can lead to a novel arrhythmogenic mechanism. Furthermore, we show that the essential phenomena can be captured in a much simpler coupled-map model.
我们使用详细的电生理模型对传导阻滞的动力学进行了数值研究。我们发现这种动力学关键取决于起搏区域的大小。小的起搏区域会导致静止的传导阻滞,而较大的起搏区域则可能导致传导阻滞周期性地向起搏区域移动。我们表明,这种大小依赖性动力学可导致一种新的致心律失常机制。此外,我们还表明,基本现象可以在一个简单得多的耦合映射模型中得到体现。