The effect of conductivity values on ST segment shift in subendocardial ischaemia

The aim of this study was to investigate the effect of different conductivity values on epicardial surface potential distributions on a slab of cardiac tissue. The study was motivated by the large variation in published bidomain conductivity parameters available in the literature. Simulations presented are based on a previously published bidomain model and solution technique which includes fiber rotation. Three sets of conductivity parameters are considered and an alternative set of nondimensional parameters relating the tissue conductivities to blood conductivity is introduced. These nondimensional parameters are then used to study the relative effect of blood conductivity on the epicardial potential distributions. Each set of conductivity parameters gives rise to a distinct set of epicardial potential distributions, both in terms of morphology and magnitude. Unfortunately, the differences between the potential distributions cannot be explained by simple combinations of the conductivity values or the resulting dimensionless parameters.

[1]  A. M. Scher,et al.  Effect of Tissue Anisotropy on Extracellular Potential Fields in Canine Myocardium in Situ , 1982, Circulation research.

[2]  Anastasios Bezerianos,et al.  A theoretical analysis of acute ischemia and infarction using ECG reconstruction on a 2-D model of myocardium , 2001, IEEE Transactions on Biomedical Engineering.

[3]  N. Trayanova,et al.  The response of a spherical heart to a uniform electric field: a bidomain analysis of cardiac stimulation , 1993, IEEE Transactions on Biomedical Engineering.

[4]  L. Clerc Directional differences of impulse spread in trabecular muscle from mammalian heart. , 1976, The Journal of physiology.

[5]  Leslie Tung,et al.  A bi-domain model for describing ischemic myocardial d-c potentials , 1978 .

[6]  S. Bellet,et al.  Negative displacement of the RS-T segment in the electrocardiogram and its relationship to positive displacement; an experimental study. , 1945, Archivos del Instituto de Cardiologia de Mexico.

[7]  B.J. Roth,et al.  A mathematical model of make and break electrical stimulation of cardiac tissue by a unipolar anode or cathode , 1995, IEEE Transactions on Biomedical Engineering.

[8]  D. Geselowitz,et al.  Simulation Studies of the Electrocardiogram: I. The Normal Heart , 1978, Circulation research.

[9]  Otto H. Schmitt,et al.  Biological Information Processing Using the Concept of Interpenetrating Domains , 1969 .

[10]  Peter R. Johnston,et al.  The importance of anisotropy in modeling ST segment shift in subendocardial ischaemia , 2001, IEEE Transactions on Biomedical Engineering.

[11]  Yongmin Kim,et al.  An investigation of the importance of myocardial anisotropy in finite-element modeling of the heart: methodology and application to the estimation of defibrillation efficacy , 2001, IEEE Transactions on Biomedical Engineering.

[12]  A. M. Scher,et al.  Influence of Cardiac Fiber Orientation on Wavefront Voltage, Conduction Velocity, and Tissue Resistivity in the Dog , 1979, Circulation research.

[13]  N. Trayanova,et al.  Anode/cathode make and break phenomena in a model of defibrillation , 1999, IEEE Transactions on Biomedical Engineering.

[14]  M. Prinzmetal,et al.  ANGINA PECTORIS. VII. THE NATURE OF S-T DEPRESSION IN ACUTE MYOCARDIAL ISCHEMIA. , 1964, The American journal of cardiology.

[15]  G. E. Newman,et al.  Significance of subendocardial S-T segment elevation caused by coronary stenosis in the dog. Epicardial S-T segment depression, local ischemia and subsequent necrosis. , 1977, The American journal of cardiology.

[16]  DanshiLi,et al.  Source of Electrocardiographic ST Changes in Subendocardial Ischemia , 1998 .

[17]  K. Foster,et al.  Dielectric properties of tissues and biological materials: a critical review. , 1989, Critical reviews in biomedical engineering.

[18]  B. Roth Electrical conductivity values used with the bidomain model of cardiac tissue , 1997, IEEE Transactions on Biomedical Engineering.