2014年8月17日
Ventricular arrhythmia induced by the Purkinje network with reduced gap junction conductance - A simulation study
Transactions of Japanese Society for Medical and Biological Engineering
- ,
- ,
- ,
- ,
- ,
- 巻
- 52
- 号
- 開始ページ
- 82
- 終了ページ
- OS-83
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.11239/jsmbe.52.OS-82
- 出版者・発行元
- Japan Soc. of Med. Electronics and Biol. Engineering
The Purkinje network is one of the electrical excitation conduction systems in the heart and represents the most distal portion of the ventricular conduction system. Gap junction channels provide a pathway for electrical signaling between cells. A recent study identified a mutation that reduces the gap junction conductance in patients with ventricular arrhythmias. To elucidate underlying mechanisms, we studied the relationship between gap junction conductance in the Purkinje network and ventricular arrhythmias using computer simulations. We constructed His-Purkinje-ventricular network models composed of ≈13,000 cells, in which neighbouring cells were connected by gap junction channels. At lower gap junction conductances, reentrant beats occurred. When one of the reentrant circuits was disconnected, reentrant beats did not persist in many cases as a consequence of altering dynamics in excitation conduction. Our simulation results suggest that both Purkinje network structure and gap junction conductance are important factors for generating arrhythmias in the Purkinje network.
- ID情報
-
- DOI : 10.11239/jsmbe.52.OS-82
- ISSN : 1347-443X
- ISSN : 1881-4379
- SCOPUS ID : 84939458130