Stationary Pulses and Wave Front Formation in an Excitable Medium

In an excitable medium, the method of phase plane analysis of ODE reductions is often used to separate suprathreshold disturbances that collapse from disturbances that expand andresult in a propagating front. Following this approach, we stud y here pulse formation in 1-Dimensional (1-D) and2-D med ia andd erive closedform (1-D) andapproximate (2-D) expressions for a critical pulse structure, which is stationary but unstable. This critical structure, called a stationary pulse, can be modulated by altering (e.g. adding a constant to) the reaction portion of the reaction-diffusion equation, suggesting a mechanism for extinguishing the initial expanding phase of front formation or for steering a front. We have also studied analytically andnumerically the onset of “recovery”, lead ing from a single wavefront to an ordinary action potential wave. Possible applications of these ideas to the development of practical strategies for controlling cardiac arrhythmia are discussed.

[1]  Alwyn C. Scott,et al.  The electrophysics of a nerve fiber , 1975 .

[2]  G. R. Mines On dynamic equilibrium in the heart , 1913, The Journal of physiology.

[3]  H A Fozzard,et al.  Strength—duration curves in cardiac Purkinje fibres: effects of liminal length and charge distribution , 1972, The Journal of physiology.

[4]  Vicente Pérez-Muñuzuri,et al.  Vulnerability in excitable Belousov-Zhabotinsky medium: from 1D to 2D , 1994 .

[5]  Wanda Krassowska,et al.  Initiation of propagation in a one-dimensional excitable medium , 1997 .

[6]  C F Starmer,et al.  Vulnerability in an excitable medium: analytical and numerical studies of initiating unidirectional propagation. , 1993, Biophysical journal.

[7]  C F Starmer,et al.  Cardiac instability amplified by use-dependent Na channel blockade. , 1992, The American journal of physiology.

[8]  William Albert Hugh Rushton,et al.  Initiation of the Propagated Disturbance , 1937 .

[9]  C F Starmer,et al.  Proarrhythmic Response to Sodium Channel Blockade: Theoretical Model and Numerical Experiments , 1991, Circulation.

[10]  Link between the effect of an electric field on wave propagation and the curvature-velocity relation , 1997 .

[11]  C. Frank Starmer,et al.  Vulnerability in one-dimensional excitable media , 1994 .

[12]  D. Aronson,et al.  Nonlinear diffusion in population genetics, combustion, and nerve pulse propagation , 1975 .

[13]  A. Mikhailov Foundations of Synergetics I: Distributed Active Systems , 1991 .

[14]  H. Davis Introduction to Nonlinear Differential and Integral Equations , 1964 .

[15]  C. Starmer The Cardiac Vulnerable Period and Reentrant Arrhythmias: Targets of Anti‐ and Proarrhythmic Processes , 1997, Pacing and clinical electrophysiology : PACE.

[16]  Alexander S. Mikhailov,et al.  Foundations of Synergetics II , 1990 .

[17]  C. Starmer,et al.  A proarrhythmic response to sodium channel blockade: modulation of the vulnerable period in guinea pig ventricular myocardium. , 1992, Journal of cardiovascular pharmacology.

[18]  A ROSENBLUETH,et al.  The mathematical formulation of the problem of conduction of impulses in a network of connected excitable elements, specifically in cardiac muscle. , 1946, Archivos del Instituto de Cardiologia de Mexico.