Abstract
The purpose of this computational study was to test the pertinence of the magnitude of the minimum time derivative of the extracellular potential, |dVes/dtmin|, measured in a thin, conducting solution layer adjacent to the tissue, as an index of cardiac excitability. For this purpose, we performed computational studies characterizing the relationship between |dVes/dtmin| and the maximum upstroke velocity of transmembrane voltage, dVm/dtmax, which has been used in previous studies as an index of excitability. A three-dimensional bidomain model of electrical conduction in cardiac tissue was used based on the Noble-Varghese-Kohl-Noble model of ventricular myocytes. The spatial domain included a slab of cardiac tissue with intra- and extracellular anisotropic conductivities surrounded by a layer of solution. The simulations showed linear relationships between |dVes/dtmin| and dVm/dtmax for reduction of maximum sodium current conductance (G Na ) from 100% to 20%. The relationship was dependent on location and propagation direction. However, when both parameters were normalized, those dependencies disappeared. In summary, our study demonstrated that normalized |dVes/dtmin| is linearly related to normalized dVm/dtmax. The results support our hypothesis that normalized |dVes/dtmin| can be used as an index of cardiac excitability.
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Sohn, K., Punske, B.B., Sachse, F.B. (2009). Relationship between Maximal Upstroke Velocity of Transmembrane Voltage and Minimum Time Derivative of Extracellular Potential. In: Ayache, N., Delingette, H., Sermesant, M. (eds) Functional Imaging and Modeling of the Heart. FIMH 2009. Lecture Notes in Computer Science, vol 5528. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01932-6_54
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DOI: https://doi.org/10.1007/978-3-642-01932-6_54
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