학술논문

Unidirectional block in cardiac fibers: effects of discontinuities in coupling resistance and spatial changes in resting membrane potential in a computer simulation study
Document Type
Periodical
Source
IEEE Transactions on Biomedical Engineering IEEE Trans. Biomed. Eng. Biomedical Engineering, IEEE Transactions on. 39(5):510-522 May, 1992
Subject
Bioengineering
Computing and Processing
Components, Circuits, Devices and Systems
Communication, Networking and Broadcast Technologies
Optical fiber cables
Cardiac tissue
Ischemic pain
Biomembranes
Muscles
Voltage
Computer simulation
Conductivity
Optical fiber theory
Language
ISSN
0018-9294
1558-2531
Abstract
The mechanisms for conduction and unidirectional block (UDB) in cardiac tissue under spatial changes in cell-to-cell coupling resistivity (R/sub i/) and resting potential (V/sub rest/) were studied. The effects of discontinuities in R/sub i/ as would result from collagenous or fibrotic tissue on propagation characteristics, in the border zone between normal and ischemic tissue, were studied. It was found that conduction block is more likely to occur when an abrupt decrease in R/sub i/ is encountered as compared to an abrupt increase in R/sub i/. Discontinuities in R/sub i/ were found to cause changes in propagation characteristics, changing regions of bidirectional block to UDB or bidirectional propagation. Spatial changes in V/sub rest/ were also studied. It is found that when V/sub rest/ alone was altered, block was not likely to occur, while discontinuities in R/sub i/ superimposed with V/sub rest/ gradients increased the likelihood of block. It is also found that R/sub i/ discontinuities located in the border zone between normal and ischemic tissue can create exit block or propagation of a parasystolic focus.ETX