Title
The Combined Effect of Myocardial Infarction and Ischemia on Excitation Wave Propagation in Ventricular Tissue
Abstract
Aims: Previous studies have shown that the infarction and ischemia of cardiac tissue are strongly correlated with incidence of atrial and ventricular tachyarrhythmias. However, so far the combined effect of myocardial infarction and ischemia on the genesis of cardiac arrhythmias has not been fully understood. Therefore, this study aimed to investigate how the coexistence of myocardial infarction and ischemia alters excitation wave propagation. Methods: The electrophysiology remodeling under ischemia condition was mimicked based on experimental data and incorporated into TP06 model. Using the constructed 2D and 3D models, we simulated the excitation wave conduction in ventricular tissue under five different conditions: normal, myocardial ischemia under three levels, and myocardial infarction conditions. Results: Simulation results showed that the conduction velocity and rotor tracks are different in the normal, infarcted and ischemic conditions. In addition, reentry waves are observed in myocardial infarction with the ischemic condition in 2D and 3D models. Conclusion: Simulation results demonstrate that the coaction of myocardial infarction and ischemia areas increases spatial electrical heterogeneity of ventricular tissue, which may enhance the pro-arrhythmogenic effect.
Year
DOI
Venue
2019
10.23919/CinC49843.2019.9005915
2019 Computing in Cardiology (CinC)
Keywords
DocType
ISSN
atrial tachyarrhythmias,ventricular tachyarrhythmias,excitation wave propagation,ischemia condition,excitation wave conduction,ventricular tissue,myocardial ischemia,myocardial infarction conditions,infarcted conditions,ischemic conditions,cardiac tissue,spatial electrical heterogeneity,3D model,2D model
Conference
2325-8861
ISBN
Citations 
PageRank 
978-1-7281-5942-3
0
0.34
References 
Authors
1
4
Name
Order
Citations
PageRank
Cuiping Liang100.34
Kuanquan Wang21617141.11
Qince Li379.91
Henggui Zhang410551.88