Liberation of a pinned spiral wave by a single stimulus in excitable media

Spiral wave unpinning facilitated by wave emitting sites in cardiac monolayers

Rotating spiral waves of electrical activity in the heart can anchor to unexcitable tissue (an obstacle) and become stable pinned waves. A pinned rotating wave can be unpinned either by a local electrical stimulus applied close to the spiral core, or by an electric field pulse that excites the core of a pinned wave independently of its localization. The wave will be unpinned only when the pulse is delivered inside a narrow time interval called the unpinning window (UW) of the spiral. In experiments with cardiac monolayers, we found that other obstacles situated near the pinning centre of the spiral can facilitate unpinning. In numerical simulations, we found increasing or decreasing of the UW depending on the location, orientation and distance between the pinning centre and an obstacle. Our study indicates that multiple obstacles could contribute to unpinning in experiments with intact hearts.

Three-Dimensional Cell Geometry Controls Excitable Membrane Signaling in Dictyostelium Cells

Phosphatidylinositol (3-5)-trisphosphate (PtdInsP3) is known to propagate as waves on the plasma membrane and is related to the membrane-protrusive activities in Dictyostelium and mammalian cells. Although there have been a few attempts to study the three-dimensional (3D) dynamics of these processes, most studies have focused on the dynamics extracted from single focal planes. However, the relation between the dynamics and 3D cell shape remains elusive because of the lack of signaling information about the unobserved part of the membrane. Here, we show that PtdInsP3 wave dynamics are directly regulated by the 3D geometry (i.e., size and shape) of the plasma membrane. By introducing an analysis method that extracts the 3D spatiotemporal activities on the entire cell membrane, we show that PtdInsP3 waves self-regulate their dynamics within the confined membrane area. This leads to changes in speed, orientation, and pattern evolution, following the underlying excitability of the signal transduction system. Our findings emphasize the role of the plasma membrane topology in reaction-diffusion-driven biological systems and indicate its importance in other mammalian systems.

Dynamics of spatiotemporal line defects and chaos control in complex excitable systems

Spatiotemporal pattern formation governs dynamics and functions in various biological systems. In the heart, excitable waves can form complex oscillatory and chaotic patterns even at an abnormally higher frequency than normal heart beats, which increase the risk of fatal heart conditions by inhibiting normal blood circulation. Previous studies suggested that line defects (nodal lines) play a critical role in stabilizing those undesirable patterns. However, it remains unknown if the line defects are static or dynamically changing structures in heart tissue. Through in vitro experiments of heart tissue observation, we reveal the spatiotemporal dynamics of line defects in rotating spiral waves. We combined a novel signaling over-sampling technique with a multi-dimensional Fourier analysis, showing that line defects can translate, merge, collapse and form stable singularities with even and odd parity while maintaining a stable oscillation of the spiral wave in the tissue. These findings provide insights into a broad class of complex periodic systems, with particular impact to the control and understanding of heart diseases.

Virtual electrodes around anatomical structures and their roles in defibrillation

BACKGROUND

Virtual electrodes from structural/conductivity heterogeneities are known to elicit wavefront propagation, upon field-stimulation, and are thought to be important for defibrillation. In this work we investigate how the constitutive and geometrical parameters associated with such anatomical heterogeneities, represented by endo/epicardial surfaces and intramural surfaces in the form of blood-vessels, affect the virtual electrode patterns produced.

METHODS AND RESULTS

The steady-state bidomain model is used to obtain, using analytical and numerical methods, the virtual electrode patterns created around idealized endocardial trabeculations and blood-vessels. The virtual electrode pattern around blood-vessels is shown to be composed of two dominant effects; current traversing the vessel surface and conductivity heterogeneity from the fibre-architecture. The relative magnitudes of these two effects explain the swapping of the virtual electrode polarity observed, as a function of the vessel radius, and aid in the understanding of the virtual electrode patterns predicted by numerical bidomain modelling. The relatively high conductivity of blood, compared to myocardium, is shown to cause stronger depolarizations in the endocardial trabeculae grooves than the protrusions.

CONCLUSIONS

The results provide additional quantitative understanding of the virtual electrodes produced by small-scale ventricular anatomy, and highlight the importance of faithfully representing the physiology and the physics in the context of computational modelling of field stimulation.

Unpinning of spiral waves by electrical forcing in excitable chemical media

We present experimental observations on the electrically forced release of spiral waves pinned to unexcitable circular obstacles in the Belosov-Zhabotinsky reaction. When the applied electric current density reaches the necessary current density J(unpin), the spiral tip is detached and subsequently drifts away from the obstacle. J(unpin) is found to increase with the obstacle diameter d. The growth rate ΔJ(unpin)/Δd is much higher for obstacles larger than the free spiral core compared to that for smaller obstacles. The experimental findings are confirmed by numerical simulations using the Oregonator model. The results imply that it is more difficult to release spiral waves pinned to larger obstacles, especially when the obstacle size exceeds that of the free spiral core.

Attractive and repulsive contributions of localized excitability inhomogeneities and elimination of spiral waves in excitable media

The attracting and repelling of spiral waves in a two-dimensional excitable medium in the presence of localized excitability inhomogeneities are studied. The choice of two effects depends on the comparison of excitabilities inside and outside the localized obstacle. We inspect the changes in attracting and repelling behaviors with respect to the size of the obstacle and the initial distance between the center of the spiral core and the obstacle. To understand the occurrence of these phenomena, we investigated the small v-value areas near the tip and the function of the wave velocity as the excitability parameter ε. Considering the attributes of the attractive obstacle, an eliminating scheme of spiral waves is proposed in which the attractive obstacle is rapidly moved at several fixed times. This method can avoid the high-amplitude and high-frequency stimulus in most conventional methods.

Termination of pinned vortices by high-frequency wave trains in heartlike excitable media with anisotropic fiber orientation

A variety of chemical and biological nonlinear excitable media, including heart tissue, exhibit vortices (spiral waves) that can anchor to nonexcitable obstacles. Such anchored vortices can be terminated by the application of high-frequency wave trains, as shown previously in isotropic excitable media. In this study, we examined the basic dependencies of the conduction velocities of planar waves and waves around curved obstacles as a function of anisotropy through numerical simulations of excitable media that mimic the fiber orientation in a real heart. We also investigated the unpinning of anchored spiral waves by high-frequency wave trains in an anisotropic excitable medium. Unlike the findings regarding the termination of spiral waves in isotropic excitable systems, we found a nonmonotonic relationship between the maximum unpinning period and the obstacle radius depending on the fiber orientation, where the formation of unwanted secondary pinned vortices or chaotic waves is seen over a wide range of parameters.

Time-periodic lattice of spiral pairs in excitable media

The feasibility of a spiral-type solution, periodic both in time and in space, of a reaction-diffusion equation (specifically the FitzHugh-Nagumo system) in an excitable medium is numerically demonstrated. The solution consists of arrays of interacting spiral pairs, which repeatedly create by partial annihilation a system of residual portions (RPs). The latter behaves as a source to the next generation of the spiral-pair array. If basic (highest) translational symmetry is not conserved, pointwise perturbations, above a certain threshold, are shown to be able to destroy the pattern after a certain transient time by changing its symmetry. If the basic translational symmetry is preserved, such perturbations do not cause destruction unless occurring at the nearest vicinity of the RP site. Singular value decomposition methods are used to analyze the structure of the pattern, revealing the importance of the spiral pairs and the RPs.

Wave emission on interacting heterogeneities in cardiac tissue

Cardiac arrhythmias, a precursor of fibrillationlike states in the beating heart, are associated with spiral waves, which are likely to become pinned to heterogeneities. Far-field pacing (FFP) is a promising method for terminating such waves by using heterogeneities in the tissue as internal pacing sites. In this study we investigated the role of multiple obstacles and their interaction during FFP. We show that a secondary nearby obstacle can significantly modulate the minimum electrical field in FFP. Further, we show that essentially the same effect can be observed in cardiac tissue culture, which is a powerful experimental model to simulate heart activity. Here, an isotropic cell distribution leads to domain formation of locally distributed depolarization sites. Both secondary obstacles and domain formation of local depolarization sites can modulate energy requirements to originate wave propagation on obstacles. Our theoretical result was confirmed by experiments with cardiomyocyte monolayers. This result may be useful for the future application of FFP to a real beating heart.

Utilizing the eikonal relationship in strategies for reentrant wave termination in excitable media

Obstacle-anchored vortices can be terminated by the application of high-frequency wave trains in excitable media. We theoretically derived the dependency between the obstacle radius and the maximum unpinning period through reinterpretation of the well-known eikonal equation. Our theoretical result was confirmed by experiments with cardiomyocyte monolayers. This result may be useful for improving the stimulation protocol of implantable cardiac pacemakers.

Wave-train-induced termination of weakly anchored vortices in excitable media

A free vortex in excitable media can be displaced and removed by a wave train. However, simple physical arguments suggest that vortices anchored to large inexcitable obstacles cannot be removed similarly. We show that unpinning of vortices attached to obstacles smaller than the core radius of the free vortex is possible through pacing. The wave-train frequency necessary for unpinning increases with the obstacle size and we present a geometric explanation of this dependence. Our model-independent results suggest that decreasing excitability of the medium can facilitate pacing-induced removal of vortices in cardiac tissue.