Fu Zhenyin, Dong Ruiqing, Zheng Huanyong, Wang Zefeng, Cao Boyang, Bai Jinghui, Ma Mingxia, Song Zhanchun, Pan Fuzhi, Xia Ling, Wu Yongquan, Zhou Shijie, Deng Dongdong
College of Biomedical Engineering & Instrument Science, Zhejiang University, 310058 Hangzhou, Zhejiang, China.
Department of Cardiology, Dushu Lake Hospital Affiliated to Soochow University, 215000 Suzhou, Jiangsu, China.
Rev Cardiovasc Med. 2024 Oct 11;25(10):364. doi: 10.31083/j.rcm2510364. eCollection 2024 Oct.
Cardiac conduction velocity (CV) is a critical electrophysiological characteristic of the myocardium, representing the speed at which electrical pulses propagate through cardiac tissue. It can be delineated into longitudinal, transverse, and normal components in the myocardium. The CV and its anisotropy ratio are crucial to both normal electrical conduction and myocardial contraction, as well as pathological conditions where it increases the risk of conduction block and reentry. This comprehensive review synthesizes longitudinal and transverse CV values from clinical and experimental studies of human infarct hearts, including findings from the isthmus and outer loop, alongside data derived from animal models. Additionally, we explore the anisotropic ratio of conductivities assessed through both animal and computational models. The review culminates with a synthesis of scientific evidence that guides the selection of CV and its corresponding conductivity in cardiac modeling, particularly emphasizing its application in patient-specific cardiac arrhythmia modeling.
心脏传导速度(CV)是心肌的一项关键电生理特性,代表电脉冲在心脏组织中传播的速度。它在心肌中可分为纵向、横向和法线分量。CV及其各向异性比率对于正常的电传导和心肌收缩以及增加传导阻滞和折返风险的病理状况都至关重要。这篇综述综合了来自人类梗死心脏临床和实验研究的纵向和横向CV值,包括峡部和外环的研究结果,以及来自动物模型的数据。此外,我们还探讨了通过动物模型和计算模型评估的电导率各向异性比率。这篇综述以科学证据的综合为结尾,这些证据指导了心脏建模中CV及其相应电导率的选择,特别强调了其在患者特异性心律失常建模中的应用。