Abstract

The development of new approaches to control cardiac arrhythmias requires a deep understanding of spiral wave dynamics. Optogenetics offers new possibilities for this. Preliminary experiments show that sub-threshold illumination affects electrical wave propagation in the mouse heart. However, a systematic exploration of these effects is technically challenging. Here, we use state-of-the-art computer models to study the dynamic control of spiral waves in a two-dimensional model of the adult mouse ventricle, using stationary and non-stationary patterns of sub-threshold illumination. Our results indicate a light-intensity-dependent increase in cellular resting membrane potentials, which together with diffusive cell-cell coupling leads to the development of spatial voltage gradients over differently illuminated areas. A spiral wave drifts along the positive gradient. These gradients can be strategically applied to ensure drift-induced termination of a spiral wave, both in optogenetics and in conventional methods of electrical defibrillation.

Highlights

  • Emergence of reentrant electrical activity, often in the form of spiral and scroll waves, is associated with the development of life-threatening heart rhythm disorders, known as cardiac arrhythmias (Krinski, 1968; Davidenko et al, 1990; Davidenko et al, 1992; Pertsov et al, 1993)

  • We use optogenetics at sub-threshold light intensity (LI) to investigate the possibility of controlling spiral wave dynamics in light-sensitive cardiac tissue

  • We begin with a study of the effect of uniform, global, constant sub-threshold illumination at different LI on the conduction velocity (CV) of plane propagating waves in a 2.5 cm Â0.25 cm pseudo domain

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Summary

Introduction

Emergence of reentrant electrical activity, often in the form of spiral and scroll waves, is associated with the development of life-threatening heart rhythm disorders, known as cardiac arrhythmias (Krinski, 1968; Davidenko et al, 1990; Davidenko et al, 1992; Pertsov et al, 1993). The state-of-the-art technique for controlling the dynamics of these abnormal waves involves global electrical synchronization.

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