Complexity of AV Nodal Function: Complex Nodal Structure or Complex Behavior of Nodal Elements?

Abstract

This paper discusses the hypothesis that the complex behavior of the atrioventricular (AV) node, with particular reference to Wenckebach periods, may be explained by the complexity of nodal structure and that complicated function of individual AV nodal fibers need not necessarily be considered. To prove this hypothesis, a computer model of cardiac excitation has been employed to simulate AV nodal function for two different anisotropic AV nodal model images. The experimental computer results show that the pattern of Wenckebach periods, and decremental and concealed AV nodal conduction can be explained without considering decremental conduction properties of individual AV nodal cells.