Study of atrial arrhythmias in a computer model based on magnetic resonance images of human atria

Journal Article (Journal Article)

The maintenance of multiple wavelets appears to be a consistent feature of atrial fibrillation (AF). In this paper, we investigate possible mechanisms of initiation and perpetuation of multiple wavelets in a computer model of AF. We developed a simplified model of human atria that uses an ionic-based membrane model and whose geometry is derived from a segmented magnetic resonance imaging data set. The three-dimensional surface has a realistic size and includes obstacles corresponding to the location of major vessels and valves, but it does not take into account anisotropy. The main advantage of this approach is its ability to simulate long duration arrhythmias (up to 40 s). Clinically relevant initiation protocols, such as single-site burst pacing, were used. The dynamics of simulated AF were investigated in models with different action potential durations and restitution properties, controlled by the conductance of the slow inward current in a modified Luo-Rudy model. The simulation studies show that (1) single-site burst pacing protocol can be used to induce wave breaks even in tissue with uniform membrane properties, (2) the restitution-based wave breaks in an atrial model with realistic size and conduction velocities are transient, and (3) a significant reduction in action potential duration (even with apparently flat restitution) increases the duration of AF. © 2002 American Institute of Physics.

Full Text

Duke Authors

Cited Authors

  • Virag, N; Jacquemet, V; Henriquez, CS; Zozor, S; Blanc, O; Vesin, JM; Pruvot, E; Kappenberger, L

Published Date

  • January 1, 2002

Published In

Volume / Issue

  • 12 / 3

Start / End Page

  • 754 - 763

International Standard Serial Number (ISSN)

  • 1054-1500

Digital Object Identifier (DOI)

  • 10.1063/1.1483935

Citation Source

  • Scopus