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Drift of scroll wave filaments in an anisotropic model of the left ventricle of the human heart

机译:在人心脏左心室的各向异性模型中漂移滚动波长丝

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摘要

Scroll waves are three-dimensional vortices which occur in excitable media. Their formation in the heart results in the onset of cardiac arrhythmias, and the dynamics of their filaments determine the arrhythmia type. Most studies of filament dynamics were performed in domains with simple geometries and generic description of the anisotropy of cardiac tissue. Recently, we developed an analytical model of fibre structure and anatomy of the left ventricle (LV) of the human heart. Here, we perform a systematic study of the dynamics of scroll wave filaments for the cases of positive and negative tension in this anatomical model. We study the various possible shapes of LV and different degree of anisotropy of cardiac tissue. We show that, for positive filament tension, the final position of scroll wave filament is mainly determined by the thickness of the myocardial wall but, however, anisotropy attracts the filament to the LV apex. For negative filament tension, the filament buckles, and for most cases, tends to the apex of the heart with no or slight dependency on the thickness of the LV. We discuss the mechanisms of the observed phenomena and their implications for cardiac arrhythmias.
机译:涡旋波是在可激发介质中发生的三维涡旋。它们在心脏中的形成导致心律不齐的发作,其细丝的动力学决定了心律失常的类型。多数灯丝动力学研究是在具有简单几何形状和对心脏组织各向异性的一般描述的领域中进行的。最近,我们开发了人类心脏左心室(LV)的纤维结构和解剖结构的分析模型。在这里,我们对这种解剖模型中正负张力情况下的涡旋波丝的动力学进行了系统的研究。我们研究了LV的各种可能形状和心脏组织的不同程度的各向异性。我们表明,对于正的丝张力,涡旋波丝的最终位置主要由心肌壁的厚度决定,但是各向异性将丝吸引至LV顶点。对于负的细丝张力,细丝会弯曲,在大多数情况下,它们趋向于心脏的心尖,而与LV的厚度无关或略有依赖性。我们讨论了观察到的现象的机制及其对心律不齐的影响。

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