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Simulation Methods and Validation Criteria for Modeling Cardiac Ventricular Electrophysiology.

Krishnamoorthi S, Perotti LE, Borgstrom NP, Ajijola OA, Frid A, Ponnaluri AV, Weiss JN, Qu Z, Klug WS, Ennis DB, Garfinkel A - PLoS ONE (2014)

Bottom Line: We solve the electrophysiology governing equations using the finite element method and compute both a 6-lead precordial electrocardiogram (ECG) and the activation wavefronts over time.We are particularly concerned with the validation of the various methods used in our model and, in this regard, propose a series of validation criteria that we consider essential.Among other components, we conclude that a Purkinje geometry with a high density of Purkinje muscle junctions covering the right and left ventricular endocardial surfaces as well as transmural and apex-to-base gradients in action potential characteristics are necessary to produce ECGs and time activation plots that agree with physiological observations.

View Article: PubMed Central - PubMed

Affiliation: Department of Mechanical and Aerospace Engineering, University of California Los Angeles, Los Angeles, California, United States of America.

ABSTRACT
We describe a sequence of methods to produce a partial differential equation model of the electrical activation of the ventricles. In our framework, we incorporate the anatomy and cardiac microstructure obtained from magnetic resonance imaging and diffusion tensor imaging of a New Zealand White rabbit, the Purkinje structure and the Purkinje-muscle junctions, and an electrophysiologically accurate model of the ventricular myocytes and tissue, which includes transmural and apex-to-base gradients of action potential characteristics. We solve the electrophysiology governing equations using the finite element method and compute both a 6-lead precordial electrocardiogram (ECG) and the activation wavefronts over time. We are particularly concerned with the validation of the various methods used in our model and, in this regard, propose a series of validation criteria that we consider essential. These include producing a physiologically accurate ECG, a correct ventricular activation sequence, and the inducibility of ventricular fibrillation. Among other components, we conclude that a Purkinje geometry with a high density of Purkinje muscle junctions covering the right and left ventricular endocardial surfaces as well as transmural and apex-to-base gradients in action potential characteristics are necessary to produce ECGs and time activation plots that agree with physiological observations.

No MeSH data available.


Related in: MedlinePlus

6-lead electrocardiogram of a normal adolescent White New Zealand male rabbit.The following defining aspects of the ECG are visible (5th validation criteria): fast QRS upstroke, no QRS fractionation, R-wave progressions from V1 to V6, positive T wave with longer upstroke than downstroke.
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pone-0114494-g006: 6-lead electrocardiogram of a normal adolescent White New Zealand male rabbit.The following defining aspects of the ECG are visible (5th validation criteria): fast QRS upstroke, no QRS fractionation, R-wave progressions from V1 to V6, positive T wave with longer upstroke than downstroke.

Mentions: Surface electrocardiograms: QRS duration in a rabbit should be less than (Fig. 6) without fractionation or slurring (in humans, QRS duration is ). There should be R-wave progression, with R-waves becoming progressively more positive from V1 to V6 [37]–[39]. The T wave should be positive in all precordial leads and should have a longer rising than falling phase.


Simulation Methods and Validation Criteria for Modeling Cardiac Ventricular Electrophysiology.

Krishnamoorthi S, Perotti LE, Borgstrom NP, Ajijola OA, Frid A, Ponnaluri AV, Weiss JN, Qu Z, Klug WS, Ennis DB, Garfinkel A - PLoS ONE (2014)

6-lead electrocardiogram of a normal adolescent White New Zealand male rabbit.The following defining aspects of the ECG are visible (5th validation criteria): fast QRS upstroke, no QRS fractionation, R-wave progressions from V1 to V6, positive T wave with longer upstroke than downstroke.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4262432&req=5

pone-0114494-g006: 6-lead electrocardiogram of a normal adolescent White New Zealand male rabbit.The following defining aspects of the ECG are visible (5th validation criteria): fast QRS upstroke, no QRS fractionation, R-wave progressions from V1 to V6, positive T wave with longer upstroke than downstroke.
Mentions: Surface electrocardiograms: QRS duration in a rabbit should be less than (Fig. 6) without fractionation or slurring (in humans, QRS duration is ). There should be R-wave progression, with R-waves becoming progressively more positive from V1 to V6 [37]–[39]. The T wave should be positive in all precordial leads and should have a longer rising than falling phase.

Bottom Line: We solve the electrophysiology governing equations using the finite element method and compute both a 6-lead precordial electrocardiogram (ECG) and the activation wavefronts over time.We are particularly concerned with the validation of the various methods used in our model and, in this regard, propose a series of validation criteria that we consider essential.Among other components, we conclude that a Purkinje geometry with a high density of Purkinje muscle junctions covering the right and left ventricular endocardial surfaces as well as transmural and apex-to-base gradients in action potential characteristics are necessary to produce ECGs and time activation plots that agree with physiological observations.

View Article: PubMed Central - PubMed

Affiliation: Department of Mechanical and Aerospace Engineering, University of California Los Angeles, Los Angeles, California, United States of America.

ABSTRACT
We describe a sequence of methods to produce a partial differential equation model of the electrical activation of the ventricles. In our framework, we incorporate the anatomy and cardiac microstructure obtained from magnetic resonance imaging and diffusion tensor imaging of a New Zealand White rabbit, the Purkinje structure and the Purkinje-muscle junctions, and an electrophysiologically accurate model of the ventricular myocytes and tissue, which includes transmural and apex-to-base gradients of action potential characteristics. We solve the electrophysiology governing equations using the finite element method and compute both a 6-lead precordial electrocardiogram (ECG) and the activation wavefronts over time. We are particularly concerned with the validation of the various methods used in our model and, in this regard, propose a series of validation criteria that we consider essential. These include producing a physiologically accurate ECG, a correct ventricular activation sequence, and the inducibility of ventricular fibrillation. Among other components, we conclude that a Purkinje geometry with a high density of Purkinje muscle junctions covering the right and left ventricular endocardial surfaces as well as transmural and apex-to-base gradients in action potential characteristics are necessary to produce ECGs and time activation plots that agree with physiological observations.

No MeSH data available.


Related in: MedlinePlus