Simulation of Overdrive Pacing in 2D Phenomenological Models of Anisotropic Myocardium

Abstract

Spiral waves in the heart underlie dangerous cardiac arrhythmias such as fibrillation. Low-voltage defibrillation and cardioversion are modern methods to treat such pathologies. This type of electrotherapy is based on the phenomenon of superseding spiral waves by a high-frequency source of excitation. In this paper, we numerically simulated the superseding process in a thin layer of the cardiac muscle. We captured the case of a sole spiral wave with a stable core at the centre of a square. We used different cell-level models as well as a variety of electrode configurations and studied the induced drift of the spiral wave. Regimes of the external stimulation were classified based on whether they provide an effective and safe, that is without break-up, way to shift the spiral toward the boundary.