We have shown previously that the motion of re-entrant waves in virtual tissues is sensitive to cellular electrophysiology, and the spatial extent of their meander is related to the probability of self-termination, and hence lethality, of arrhythmias in the long QT syndromes (Clayton et al. 2001). In the present study four ventricular cardiac cell models from the Luo-Rudy II family simulating normal epi-, endo- and M cells (Viswanathan & Rudy, 2000) and ischaemic epicardial cells (Shaw & Rudy, 1997), were incorporated as the reaction terms of a two-dimensional system of reaction-diffusion equations. The diffusion coefficient was 0.6 cm2 s-1 giving a solitary plane wave propagation velocity of 0.45 m s-1 for normal epicardial tissue. We initiated re-entrant waves in 6 to 8 cm square media by the phase distribution method (Biktashev & Holden, 1998), and followed their rotation and meander over 2 s.All four virtual ventricular tissue models with the standard parameter values have stable spiral wave solutions. We observed rigid rotation for the epi-, endo-and M models, and biperiodic meander for the ischaemic model. We found that if the maximal value of g Ks is reduced, the period of the stable spiral wave solution increases and the spatial extent of meander increases. The same proportionate decrease in g Ks causes differential increases in the extent of meander: a 50 % decrease in g Ks results in a threefold increase in the spatial extent of meander for endo-, but only a twofold increase for epicardial virtual tissue.This research was funded by the MRC, EPSRC and British Heart Foundation.
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Figure 1. Spatial extent of the spiral wave meander upon IKs blocking for epicardial (black circles), endocardial (grey circles), midmyocardial (white circles) and ischaemic (black squares) virtual tissues. |
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