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Acta Physiologica Congress

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Acta Physiologica 2010; Volume 198, Supplement 677
Joint Meeting of the Scandinavian and German Physiological Societies
3/27/2010-3/30/2010
Copenhagen, Denmark


ELECTROPHYSIOLOGICAL EFFECTS OF HEART FAILURE IN THE VENTRICULAR WALL: INSIGHTS FROM COMPUTATIONAL MODELLING
Abstract number: O-MON-2-8

SLEIMAN1 RN, ASLANIDI1 OV, ZHANG1 H

Objective: Electrophysiological effects underlying ECG changes during heart failure (HF) are unclear. We study such effects using an electro-physiologically detailed computer model of the action potential (AP) conduction in the heterogeneous transmural ventricular wall. Method: Single cell AP models for Purkinje fibre (PF), endocardial, midmyocardial (M) and epicardial cells were developed based on extant voltage-clamp datasets from rabbit. These models take into account experimentally observed HF-induced remodelling in the current densities of several ionic channel currents (ICa,L, Ito, IKr, IKs and IK1). The single cell models were incorporated into a one-dimensional (1D) tissue strand, with inter-cellular coupling in the M cell region reduced during HF. Results: All single cell models produced APs with characteristics matching to experimental data under both control and HF conditions. HF resulted in increased transmural heterogeneity. It also reduced the amplitude of the intracellular Ca2+ transient by ~40% in agreement with experimental data. In the 1D tissue model, the AP conduction from the PF to the ventricular strand produced feasible pseudo-ECG waveforms. Compared to the control condition, HF increased the QT interval by 23%, and elevated the T-wave. However, its effect on QRS duration increase was negligible (< 10%). This was attributable to the 'compensatory' effect of increased upstroke velocity (~20%) of M cells due to HF that counterbalanced the reduced intercellular electrical coupling within the M-cell region. Conclusions: The model predicts only a small decrease in the AP conduction velocity – and hence, a small increase in QRS duration during HF. This suggests that experimentally observed QRS increase in HF may result from non-electrophysiological factors, such as increased thickness of the ventricular wall. However, the elevated T-wave in HF is a combined effect of greater cellular electrical heterogeneity and lower intercellular coupling.

To cite this abstract, please use the following information:
Acta Physiologica 2010; Volume 198, Supplement 677 :O-MON-2-8

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