Abstract
The effects of uniform anisotropy of conduction was studied on functional reentry in a computer model. The model simulated conduction of the cardiac impulse in a 30 × 30 matrix of cells, connected to each other by a specified resistance that determined the time lag between excitation of one cell and another (conduction velocity). Each cell also had a predetermined time course for recovery of excitability (refractory period). Functional reentry was initiated in an isotropic matrix (equal conduction latencies in all directions) by exciting a cell adjacent to a transient line of conduction block. Functional reentrant circuits had properties of ‘leading circle’ reentry. The wave length of the circulating excitation (refractory period × conduction velocity) was only slightly shorter that the path length of the circuit, did not vary greatly as the impulse conducted around the circuit and only a very small excitable gap was present. During established reentry, the sheet was made anisotropic (conduction in the horizontal direction was 5 times more rapid than in the vertical direction). This caused the reentrant circuit to assume an oval shape. Furthermore, the wave length of the circulating excitation changed markedly in different regions of the circuit, expanding during rapid horizontal conduction and contracting during slow vertical conduction. As a result of the slow vertical conduction and the resultant short wave length, a large excitable gap appeared. The results predict, therefore, that functional reentrant circuits in anisotropic tissue will have an excitable gap.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Clerc L (1976): Directional differences of impulse spread in trabecular muscle from mammalian heart. J Physiol (London) 255: 335–346.
Spach MS, Miller WT, Geselowitz DB, Barr RC, Kootsey JM, Johnson EA (1981): The discontinuous nature of propagation in normal canine cardiac muscle: Evidence for recurrent discontinuities of intracellular resistance that affect the membrane currents. Circ Res 48: 39–54.
Spach MS, Miller WT, Dolber PC, Kootsey JM, Sommer JR, Mosher CE Jr (1982): The functional role of structural complexities in the propagation of depolarization in the atrium of the dog. Cardiac conduction disturbances due to discontinuities of effective axial resistivity. Circ Res 50: 175–191.
Ursell PC, Gardner PI, Albala A, Fenoglio JJ Jr, Wit AL (1985): Structural and electrophysiological changes in the epicardial border zone of canine myocardial infarcts during infarct healing. Circ Res 56: 436–451.
Dillon S, Ursell PC, Wit AL (1985): Pseudo-block caused by anisotropic conduction: A new mechanism for sustained reentry. Circulation 72: III-279.
El-Sherif N, Hope RR, Scherlag BJ, Lazzara R (1977): Reentrant ventricular arrhythmias in the late myocardial infarction period. 2. Patterns of initiation and termination of reentry. Circulation 55: 702–718.
El-Sherif N, Smith A, Evans K (1981): Canine ventricular arrhythmias in the late myocardial infarction period. 8. Epicardial mapping of reentrant circuits. Circ Res 49: 255–265.
Allessie MA, Bonke FIM, Schopman FJG (1977): Circus movement in rabbit atrial muscle as a mechanism of tachycardia. III. The ‘leading circle’ concept: a new model of circus movement in cardiac tissue without the involvement of an anatomic obstacle. Circ Res 41: 9–18.
Allessie MA, Bonke FIM, Schopman F (1973): Circus movement in rabbit atrial muscle as a mechanism of tachycardia. Circ Res 33: 54–62.
Smeets JLRM, Allessie MA, Lammers WJEP, Bonke FIM, Hollen J (1986): The wave length of the cardiac impulse and reentrant arrhythmias in isolated rabbit atrium. The role of heart rate, autonomic transmitters, temperature and potassium. Circ Res 58: 96–108.
Mines GR (1913): On dynamic equilibrium in the heart. J Physiol (London) 46: 349–383.
Wit AL, Cranefield PF (1978): Reentrant excitation as a cause of cardiac arrhythmias. Am J Physiol 235: H1-H17.
Allessie MA, Bonke FIM (1980): Atrial arrhythmias: Basic concepts. In Mandel WJ (ed.): Cardiac arrhythmias: their mechanisms, diagnosis and management. JB Lippincott Co., Philadelphia, pp. 145–166.
Janse MJJ (1986): Reentry rhythms. In: Fozzard HA, Haber E, Jennings RB, Katz AM, Morgan HE (eds). The heart and cardiovascular system. Raven Press, New York, pp. 1203–1238.
Lewis T (1925): The Mechanism and graphic registration of the heart beat, 3rd ed. Shaw and Sons, London.
Moe GK, Mendez C, Han J (1965): Aberrant AV impulse propagation in the dog heart: a study of functional bundle branch block. Circ Res 16: 261–286.
Gallagher JJ, Gilbert M, Sevenson RH, Sealy WC, Kasell J, Wallace AG (1975): Wolff Parkinson White syndrome: the problem, evaluation and surgical correction. Circulation 51: 767–785.
Lewis T (1920): Observations upon flutter and fibrillation. Part IV. Impure flutter; theory of circus movement. Heart 7: 293–331.
Frame LH, Page RL, Boyden PA, Hoffman PF (1983): A right atrial incision that stabilizes reentry around the tricuspid ring in dogs. Circulation 68: Suppl III-360.
Allessie MA, Lammers WJEP, Bonke FIM, Hollen J (1985): Experimental evaluation of Moe’s multiple wavelet hypothesis of atrial fibrillation. In: Zipes DP, Jalife J (eds) Cardiac electrophysiology and arrhythmias. Grune and Stratton, Orlando, pp. 265–275.
Allessie MA, Lammers WJEP, Bonke FIM, Hollen J (1984): Intra-atrial reentry as a mechanism for atrial flutter induced by acetylcholine and rapid pacing in the dog. Circulation 70:123–135.
Karagueuzian HS, Fenoglio JJ Jr, Weiss MB, Wit AL (1979): Protracted ventricular tachycardia induced by premature stimulation of the canine heart after coronary artery occlusion and reperfusion. Circ Res 44: 833–848.
Waldo AL, Maclean WAH, Karp RB, Kouchoukos NT, James TN (1977): Entrainment and interruption of atrial flutter with atrial pacing: studies in man following open heart surgery. Circulation 56: 737–744.
Wit AL, Allessie MA, Bonke FIM, Lammers WJEP, Smeets J, Fenoglio JJ Jr (1982): Electrophysiologic mapping to determine the mechanism of experimental ventricular tachycardia initiated by premature impulses. Am J Cardiol 49: 166–185.
Frame LH, Hoffman BF (1984): Mechanisms of tachycardia. In: Surawicz B, Pratrap Reddy C, Prystowsky EN (eds) Tachycardias. Martinus Nijhoff, Dordrecht, pp. 7–36.
Beeler GW, Reuter H (1977): Reconstruction of the action potential of ventricular myocardial fibers. J Physiol (London) 268: 177–210.
Van Capelle FJ, Durrer D (1980): Computer simulation of arrhythmias in a network of coupled excitable elements. Circ Res 47: 454–466.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Martinus Nijhoff Publishers, Dordrecht
About this chapter
Cite this chapter
Lammers, W.J.E.P., Wit, A.L., Allessie, M.A. (1987). Effects of anisotropy on functional reentrant circuits: preliminary results of computer simulation studies. In: Sideman, S., Beyar, R. (eds) Activation, Metabolism and Perfusion of the Heart. Developments in Cardiovascular Medicine, vol 70. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3313-2_7
Download citation
DOI: https://doi.org/10.1007/978-94-009-3313-2_7
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-7987-7
Online ISBN: 978-94-009-3313-2
eBook Packages: Springer Book Archive