Cardiac strength-interval curves calculated using a bidomain tissue with a parsimonious ionic current

PLoS One. 2017 Feb 21;12(2):e0171144. doi: 10.1371/journal.pone.0171144. eCollection 2017.

Abstract

The strength-interval curve plays a major role in understanding how cardiac tissue responds to an electrical stimulus. This complex behavior has been studied previously using the bidomain formulation incorporating the Beeler-Reuter and Luo-Rudy dynamic ionic current models. The complexity of these models renders the interpretation and extrapolation of simulation results problematic. Here we utilize a recently developed parsimonious ionic current model with only two currents-a sodium current that activates rapidly upon depolarization INa and a time-independent inwardly rectifying repolarization current IK-which reproduces many experimentally measured action potential waveforms. Bidomain tissue simulations with this ionic current model reproduce the distinctive dip in the anodal (but not cathodal) strength-interval curve. Studying model variants elucidates the necessary and sufficient physiological conditions to predict the polarity dependent dip: a voltage and time dependent INa, a nonlinear rectifying repolarization current, and bidomain tissue with unequal anisotropy ratios.

Publication types

  • Video-Audio Media

MeSH terms

  • Action Potentials / physiology
  • Anisotropy
  • Electric Stimulation
  • Heart / physiology*
  • Ion Transport
  • Membrane Potentials / physiology
  • Models, Cardiovascular
  • Potassium Channels, Inwardly Rectifying / metabolism
  • Sodium Channels / metabolism
  • Ventricular Function*

Substances

  • Potassium Channels, Inwardly Rectifying
  • Sodium Channels