Pacemakers in a Reaction-Diffusion Mechanics System

Non-linear waves of excitation are found in various biological, physical and chemical systems and are often accompanied by deformations of the medium. In this paper, we numerically study wave propagation in a deforming excitable medium using a two-variable reaction-diffusion system coupled with equations of continuum mechanics. We study the appearance and dynamics of different excitation patterns organized by pacemakers that occur in the medium as a result of deformation. We also study the interaction of several pacemakers with each other and the characteristics of pacemakers in the presence of heterogeneities in the medium. We found that mechanical deformation not only induces pacemakers, but also has a pronounced effect on spatial organization of various excitation patterns. We show how these effects are modulated by the size of the medium, the location of the initial stimulus, and the properties of the reaction-diffusion-mechanics feedback.

[1]  M. Allessie,et al.  Circus Movement in Rabbit Atrial Muscle as a Mechanism of Tachycardia , 1973, Circulation research.

[2]  A. Hodgkin,et al.  A quantitative description of membrane current and its application to conduction and excitation in nerve , 1952, The Journal of physiology.

[3]  F. Fenton,et al.  Multiple mechanisms of spiral wave breakup in a model of cardiac electrical activity. , 2002, Chaos.

[4]  R. A. Gray,et al.  Ventricular fibrillation and atrial fibrillation are two different beasts. , 1998, Chaos.

[5]  P. Hunter,et al.  Modelling the mechanical properties of cardiac muscle. , 1998, Progress in biophysics and molecular biology.

[6]  G. Gerisch Stadienspezifische Aggregationsmuster beiDictyostelium discoideum , 1965, Wilhelm Roux' Archiv für Entwicklungsmechanik der Organismen.

[7]  R. FitzHugh Impulses and Physiological States in Theoretical Models of Nerve Membrane. , 1961, Biophysical journal.

[8]  J J Heger,et al.  Sudden cardiac death. , 1998, Circulation.

[9]  F. Fenton,et al.  Vortex dynamics in three-dimensional continuous myocardium with fiber rotation: Filament instability and fibrillation. , 1998, Chaos.

[10]  F. Sachs,et al.  Calcium imaging of mechanically induced fluxes in tissue-cultured chick heart: role of stretch-activated ion channels. , 1992, The American journal of physiology.

[11]  Cornelis J Weijer,et al.  Dictyostelium morphogenesis. , 2004, Current opinion in genetics & development.

[12]  G. W. Beeler,et al.  Reconstruction of the action potential of ventricular myocardial fibres , 1977, The Journal of physiology.

[13]  M P Nash,et al.  Self-organized pacemakers in a coupled reaction-diffusion-mechanics system. , 2005, Physical review letters.

[14]  K. T. Tusscher,et al.  Influence of nonexcitable cells on spiral breakup in two-dimensional and three-dimensional excitable media. , 2003, Physical review. E, Statistical, nonlinear, and soft matter physics.

[15]  R. Yoshida,et al.  Self-Oscillating Gel , 1996 .

[16]  Peter Kohl,et al.  Effect of stretch-activated channels on defibrillation efficacy. , 2004, Heart rhythm.

[17]  Martyn P. Nash,et al.  Evidence for Multiple Mechanisms in Human Ventricular Fibrillation , 2006, Circulation.

[18]  George A. Mensah,et al.  Sudden Cardiac Death in the United States, 1989 to 1998 , 2001, Circulation.

[19]  D. Noble,et al.  A model for human ventricular tissue. , 2004, American journal of physiology. Heart and circulatory physiology.

[20]  A. Zhabotinsky,et al.  Concentration Wave Propagation in Two-dimensional Liquid-phase Self-oscillating System , 1970, Nature.

[21]  L. E. Malvern Introduction to the mechanics of a continuous medium , 1969 .

[22]  C. Luo,et al.  A model of the ventricular cardiac action potential. Depolarization, repolarization, and their interaction. , 1991, Circulation research.

[23]  H Zhang,et al.  Mathematical models of action potentials in the periphery and center of the rabbit sinoatrial node. , 2000, American journal of physiology. Heart and circulatory physiology.

[24]  M. Nash,et al.  Electromechanical model of excitable tissue to study reentrant cardiac arrhythmias. , 2004, Progress in biophysics and molecular biology.

[25]  D. Noble,et al.  Improved guinea-pig ventricular cell model incorporating a diadic space, IKr and IKs, and length- and tension-dependent processes. , 1998, The Canadian journal of cardiology.

[26]  Krinsky,et al.  Elastic excitable medium. , 1994, Physical review. E, Statistical physics, plasmas, fluids, and related interdisciplinary topics.

[27]  Raymond E Ideker,et al.  Human ventricular fibrillation: wandering wavelets, mother rotors, or both? , 2006, Circulation.

[28]  D. Clapham,et al.  Spiral calcium wave propagation and annihilation in Xenopus laevis oocytes. , 1991, Science.

[29]  A D McCulloch,et al.  Left ventricular epicardial deformation in isolated arrested dog heart. , 1987, The American journal of physiology.

[30]  N. Rashevsky,et al.  Mathematical biology , 1961, Connecticut medicine.

[31]  P. Hunter,et al.  Stretch-induced changes in heart rate and rhythm: clinical observations, experiments and mathematical models. , 1999, Progress in biophysics and molecular biology.

[32]  M R Franz,et al.  Electrophysiological Effects of Myocardial Stretch and Mechanical Determinants of Stretch‐Activated Arrhythmias , 1992, Circulation.

[33]  Gerhard Ertl,et al.  Oscillatory Kinetics in Heterogeneous Catalysis , 1995 .

[34]  R Pool,et al.  Heart like a wheel. , 1990, Science.

[35]  R. Aliev,et al.  A simple two-variable model of cardiac excitation , 1996 .

[36]  W. Baxter,et al.  Stationary and drifting spiral waves of excitation in isolated cardiac muscle , 1992, Nature.

[37]  E. Marbán,et al.  P1-8: Calcium overload induces tachyarrhythmias in a 2D ventricular myocyte experimental model , 2006 .

[38]  Peter Kohl,et al.  Induction of ventricular arrhythmias following mechanical impact: A simulation study in 3D , 2004, Journal of Molecular Histology.

[39]  M. Spach,et al.  The stochastic nature of cardiac propagation at a microscopic level. Electrical description of myocardial architecture and its application to conduction. , 1995, Circulation research.

[40]  R. Virmani,et al.  Sudden cardiac death. , 1987, Human pathology.

[41]  M. Courtemanche,et al.  Ionic mechanisms underlying human atrial action potential properties: insights from a mathematical model. , 1998, The American journal of physiology.

[42]  J Bures,et al.  Spiral waves of spreading depression in the isolated chicken retina. , 1983, Journal of neurobiology.