Adaptive sampling of intracellular and extracellular cardiac potentials with the fan method.
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Biomedical subjects
Publications and source records attributed to R C Barr.
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The electrical source strength for an isolated, active, excitable fiber can be taken to be its transmembrane current as an excellent approximation. The transmembrane current can be determined from intracellular potentials only. But for multicellular preparations, particularly cardiac ventricular muscle, the electrical source strength may be changed significantly by the presence of the interstitial potential field. This report examines the size of the interstitial potential field as a function of depth into a semi-infinite tissue structure of cardiac muscle regarded as syncytial. A uniform propagating plane wave of excitation is assumed and the interstitial potential field is found based on consideration of the medium as a continuum (bidomain model). As a whole, the results are inconsistent with any of the limiting cases normally used to represent the volume conductor, and suggest that in only the thinnest of tissue (less than 200 micron) can the interstitial potentials be ignored.
This paper reviews the literature on mathematical models of cardiac activation and evaluates these approaches against an analytical approach that includes both structure and membrane properties. The advantages and disadvantages of each methodology are described and directions for future research suggested.
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The specific impedance of cardiac tissue cannot be measured directly. Instead, the investigator obtains voltage and current measurements and places them into a model of the tissue's structure to infer the impedances of elements of the model. If the model fails to describe major aspects of the real tissue, the results may be worthless, although possibly self-consistent. In the literature of impedance measurement in cardiac tissue, only rarely is the model explicitly described; more commonly, the tissue model is adopted implicitly when equations giving the impedance in terms of voltage and current measurements are adopted. This paper examines the series of models that have been used in specific impedance measurements of cardiac tissue and shows how the same or similar measurements can accurately describe tissue impedivity or can lead to significant errors when inadequate models such as isotropic and anisotropic monodomains (although a part of work of historical merit) are used.
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This paper studies the relative strength of sources associated with the cell and the junction between cells of an equivalent single cardiac fiber. It is shown that the junctional source is negligible compared to the cellular source. On the other hand, the junctional resistance affects the magnitude of the cellular source reducing it by possibly an order of magnitude. The significance of these results to cardiac electrophysiology is that the effect of the junctional resistance may have to be considered separate from that of the cellular resistance.
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Cardiac tissue has been shown to function as an electrical syncytium in both intracellular and extracellular (interstitial) domains. Available experimental evidence and qualitative intuition about the complex anatomical structure support the viewpoint that different (average) conductivities are characteristic of the direction along the fiber axis, as compared with the cross-fiber direction, in intracellular as well as extracellular space. This report analyzes two-dimensional anisotropic cardiac tissue and achieves integral equations for finding intracellular and extracellular potentials, longitudinal currents, and membrane currents directly from a given description of the transmembrane voltage. These mathematical results are used as a basis for a numerical model of realistic (though idealized) two-dimensional cardiac tissue. A computer simulation based on the numerical model was executed for conductivity patterns including nominally normal ventricular muscle conductivities and a pattern having the intra- or extracellular conductivity ratio along x, the reciprocal of that along y. The computed results are based on assuming a simple spatial distribution for Vm, usually a circular isochrone, to isolate the effects on currents and potentials of variations in conductivities without confounding propagation differences. The results are in contrast to the many reports that explicity or implicitly assume isotropic conductivity or equal conductivity ratios along x and y. Specifically, with reciprocal conductivities, most current flows in large loops encompassing several millimeters, but only in the resting (polarized) region of the tissue; further, a given current flow path often includes four or more rather than two transmembrane excursions. The nominally normal results showed local currents predominantly with only two transmembrane passages; however, a substantial part of the current flow patterns in two-dimensional anisotropic bisyncytia may have qualitative as well as quantitative properties entirely different from those of one-dimensional strands.
This paper reports on a simulation of propagation for anisotropic two-dimensional cardiac tissue. The tissue structure assumed was that of a Hodgin-Huxley membrane separating inside and outside anisotropic media, obeying Ohm's law in each case. Membrane current was found by an integral expression involving partial spatial derivatives of Vm weighted by a function of distance. Numerical solutions for transmembrane voltage as a function of time following excitation at a single central site were computed using an algorithm that examined only the portion of the tissue undergoing excitation at each moment; thereby, the number of calculations required was reduced to a large but achievable number. Results are shown for several combinations of the four conductivity values: With isotropic tissue, excitation spread in circles, as expected. With tissue having nominally normal ventricular conductivities, excitation spread in patterns close to ellipses. With reciprocal conductivities, isochrones approximated a diamond shape, and were in conflict with the theoretical predictions of Muler and Markin; the time constant of the foot of the action potentials, as computed, varied between sites along axes as compared with sites along the diagonals, even though membrane properties were identical everywhere. Velocity of propagation changed for several milliseconds following the stimulus. Patterns that would have been expected from well-known studies in one dimension did not always occur in two dimensions, with the magnitude of the difference varying from nil for isotropic conductivities to quite large for reciprocal conductivities.
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