A simulation study of Torsade de Pointes with M cells.

Abstract:

:Recent studies have reported the relation between Torsade de Pointes (TdP) and midmyocardial (M) cell function associated with long QT syndrome. To investigate this relation, we conducted a simulation study with a three-dimensional (3D) heart model incorporating M cells in the anterolateral areas of the model. Parameters of premature cycle-length dependent shortening of action potential duration (APD) and conduction velocity for the M cells were adjusted to induce tachyarrhythmias of TdP type. Under a basic pacing cycle length of 1,000 msec at the sinus node, four successive premature beats of 160-ms interval were generated 300 ms after the first sinus pacing. Setting lower conduction velocity and longer APD to M cells induced sustained TdP-like tachyarrhythmia resembling ECG findings. TdP could not be induced without the presence of M cells. This study suggests that TdP might be caused by reentry around M cells and dispersive refractory areas due to prolonged APD and slow conduction velocity.

journal_name

J Electrocardiol

authors

Okazaki O,Wei D,Harumi K

doi

10.1016/s0022-0736(98)90308-9

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

145-51

eissn

0022-0736

issn

1532-8430

journal_volume

31 Suppl

pub_type

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