Negative Filament Tension Research Articles

Scroll wave with negative filament tension in a model of the left ventricle of the human heart and its overdrive pacing.

Nonlinear waves of electrical excitation initiate cardiac contraction. Abnormal wave propagation in the heart, e.g., spiral waves, can lead to sudden cardiac arrest. This study analyzed the dynamics of spiral waves under the influence of an instability called negative filament tension, and examined how the spiral waves can be eliminated through high-frequency pacing. A generic anatomical model of the left ventricle of the human heart and the Aliev-Panfilov model for cardiac tissue were used. The study showed that the source of such arrhythmia is elongated filaments with lengths that can be 10-20 times greater than the characteristic thickness of the heart wall. In anisotropic tissue, the filament elongated before it was annihilated at the base of the heart. The spiral waves were eliminated through overdrive pacing with stimulation periods from 0.8 to 0.95 relative to the spiral wave period. The minimum time for the expulsion was about 10s.

High-frequency pacing of scroll waves in a three-dimensional slab model of cardiac tissue.

Vortices in excitable media underlie dangerous cardiac arrhythmias. One way to eliminate them is by stimulating the excitable medium with a period smaller than the period of the vortex. So far, this phenomenon has been studied mostly for two-dimensional vortices known as spiral waves. Here we present a first study of this phenomenon for three-dimensional vortices, or scroll waves, in a slab. We consider two main types of scroll waves dynamics: with positive filament tension and with negative filament tension and show that such elimination is possible for some values of the period in all cases. However, in the case of negative filament tension for relatively long stimulation periods, three-dimensional instabilities occur and make elimination impossible. We derive equations of motion for the drift of paced filaments and identify a bifurcation parameter that determines whether the filaments orient themselves perpendicular to the impeding wave train or not.

Stabilizing meandering scroll waves and ordering scroll wave turbulence by a circularly polarized electric field in highly excitable media

Scroll waves could demonstrate meandering behaviors and even break up into scroll wave turbulence. Significantly differing from the instability induced by negative filament tension occurring often in weakly excitable media, breakup of scroll waves in highly excitable media typically involves the interaction of fronts with refractory tail of the wave. How to stabilize scroll waves and suppress scroll wave turbulence caused by such a mechanism is understudied as previous works are largely limited to the case of the negative filament tension. Here we perform a computational study to show that application of a circularly polarized electric field in highly excitable media could not only effectively force a meandering scroll wave to a rigidly rotating one via a phase-locking mechanism, but also prevent breakup of scroll waves and convert scroll wave turbulence to stable rotating scroll waves. The application of our findings in chemical systems is also discussed.

Stabilization of three-dimensional scroll waves and suppression of spatiotemporal chaos by heterogeneities.

Scroll waves in a three-dimensional medium with negative filament tension may break up and display spatiotemporal chaos. The presence of heterogeneities can influence the evolution of the medium, in particular scroll waves may pin to such heterogeneities. We show that as a result the medium may be stabilized by heterogeneities of a suitably chosen geometry. Thin rodlike heterogeneities suppress otherwise developing spatiotemporal chaos and additionally clear out already existing chaotic excitation patterns.

Generalized Minimal Principle for Rotor Filaments

To a reaction-diffusion medium with an inhomogeneous anisotropic diffusion tensor D, we add a fourth spatial dimension such that the determinant of the diffusion tensor is constant in four dimensions. We propose a generalized minimal principle for rotor filaments, stating that the scroll wave filament strives to minimize its surface area in the higher-dimensional space. As a consequence, stationary scroll wave filaments in the original 3D medium are geodesic curves with respect to the metric tensor G=det(D)D(-1). The theory is confirmed by numerical simulations for positive and negative filament tension and a model with a non-stationary spiral core. We conclude that filaments in cardiac tissue with positive tension preferentially reside or anchor in regions where cardiac cells are less interconnected, such as portions of the cardiac wall with a large number of cleavage planes.

Drift of Scroll Wave Filaments in an Anisotropic Model of the Left Ventricle of the Human Heart.

Scroll waves are three-dimensional vortices which occur in excitable media. Their formation in the heart results in the onset of cardiac arrhythmias, and the dynamics of their filaments determine the arrhythmia type. Most studies of filament dynamics were performed in domains with simple geometries and generic description of the anisotropy of cardiac tissue. Recently, we developed an analytical model of fibre structure and anatomy of the left ventricle (LV) of the human heart. Here, we perform a systematic study of the dynamics of scroll wave filaments for the cases of positive and negative tension in this anatomical model. We study the various possible shapes of LV and different degree of anisotropy of cardiac tissue. We show that, for positive filament tension, the final position of scroll wave filament is mainly determined by the thickness of the myocardial wall but, however, anisotropy attracts the filament to the LV apex. For negative filament tension, the filament buckles, and for most cases, tends to the apex of the heart with no or slight dependency on the thickness of the LV. We discuss the mechanisms of the observed phenomena and their implications for cardiac arrhythmias.

Buckling of Scroll Waves

A scroll wave in a sufficiently thin layer of an excitable medium with negative filament tension can be stable nevertheless due to filament rigidity. Above a certain critical thickness of the medium, such a scroll wave will have a tendency to deform into a buckled, precessing state. Experimentally this will be seen as meandering of the spiral wave on the surface, the amplitude of which grows with the thickness of the layer, until a breakup to scroll wave turbulence happens. We present a simplified theory for this phenomenon and illustrate it with numerical examples.

Negative Tension of Scroll Wave Filaments and Turbulence in Three-Dimensional Excitable Media and Application in Cardiac Dynamics

Scroll waves are vortices that occur in three-dimensional excitable media. Scroll waves have been observed in a variety of systems including cardiac tissue, where they are associated with cardiac arrhythmias. The disorganization of scroll waves into chaotic behavior is thought to be the mechanism of ventricular fibrillation, whose lethality is widely known. One possible mechanism for this process of scroll wave instability is negative filament tension. It was discovered in 1987 in a simple two variables model of an excitable medium. Since that time, negative filament tension of scroll waves and the resulting complex, often turbulent dynamics was studied in many generic models of excitable media as well as in physiologically realistic models of cardiac tissue. In this article, we review the work in this area from the first simulations in FitzHugh-Nagumo type models to recent studies involving detailed ionic models of cardiac tissue. We discuss the relation of negative filament tension and tissue excitability and the effects of discreteness in the tissue on the filament tension. Finally, we consider the application of the negative tension mechanism to computational cardiology, where it may be regarded as a fundamental mechanism that explains differences in the onset of arrhythmias in thin and thick tissue.

Effects of reduced discrete coupling on filament tension in excitable media

Wave propagation in the heart has a discrete nature, because it is mediated by discrete intercellular connections via gap junctions. Although effects of discreteness on wave propagation have been studied for planar traveling waves and vortexes (spiral waves) in two dimensions, its possible effects on vortexes (scroll waves) in three dimensions are not yet explored. In this article, we study the effect of discrete cell coupling on the filament dynamics in a generic model of an excitable medium. We find that reduced cell coupling decreases the line tension of scroll wave filaments and may induce negative filament tension instability in three-dimensional excitable lattices.

Alternative stable scroll waves and conversion of autowave turbulence

Rotating spiral and scroll waves (vortices) are investigated in the FitzHugh–Nagumo model of excitable media. The focus is on a parameter region in which there exists bistability between alternative stable vortices with distinct periods. Response functions are used to predict the filament tension of the alternative scrolls and it is shown that the slow-period scroll has negative filament tension, while the filament tension of the fast-period scroll changes sign within a hysteresis loop. The predictions are confirmed by direct simulations. Further investigations show that the slow-period scrolls display features similar to delayed after-depolarization and tend to develop into turbulence similar to ventricular fibrillation (VF). Scrolls with positive filament tension collapse or stabilize, similar to monomorphic ventricular tachycardia (VT). Perturbations, such as boundary interaction or shock stimulus, can convert the vortex with negative filament tension into the vortex with positive filament tension. This may correspond to transition from VF to VT unrelated to pinning.

Vortex Turbulence due to the Interplay of Filament Tension and Rotational Anisotropy

The mechanism of scroll wave turbulence is investigated in excitable media with rotational anisotropy. We adopt the Barkley model with heterogeneity in the diffusion constants. Through comparative numerical studies, we demonstrate the vortex turbulence results from the rotational anisotropy's cooperation with negative filament tension or competition with positive filament tension. The presence of rotational anisotropy can enlarge the parameter region leading to negative-tension induced wave turbulence in isotropic media.

Negative Filament Tension at High Excitability in a Model of Cardiac Tissue

One of the fundamental mechanisms for the onset of turbulence in 3D excitable media is negative filament tension. Thus far, negative tension has always been obtained in media under low excitability. For this reason, its application to normal (nonischemic) cardiac tissue has been questionable, as such cardiac turbulence typically occurs at high excitability. Here, we report expansion of scroll rings (low curvature negative filament tension) in a medium with high excitability by numerical integration of the Luo-Rudy model of cardiac tissue. We discuss the relation between negative tension and the meandering of 2D spiral waves and the possible applications to cardiac modeling.

Negative filament tension of scroll rings in an excitable system

Scroll rings are three-dimensional spiral waves of excitation that rotate around circular filaments. In a modified Belousov-Zhabotinsky reaction, these filaments expand, buckle, and build up gradients in rotation phase. The instability is caused by negative filament tension (-4.3x10;{-4}cm;{2}s) . Initial deformations are strongest in the direction normal to the filament's osculating plane, and their growth rates decrease rapidly with increasing wave number.

Negative filament tension in the Luo-Rudy model of cardiac tissue

Scroll waves are vortices that occur in three-dimensional excitable media. Scroll waves have been observed in a variety of systems including cardiac tissue, where they are associated with cardiac arrhythmias. The disorganization of scroll waves into chaotic behavior is thought to be the mechanism of ventricular fibrillation, which lethality is widely known. One of the possible mechanisms of scroll wave instability is negative filament tension, which was studied theoretically using low-dimensional models of excitable medium. In this article we perform a numerical study of negative filament tension using the Luo-Rudy phase 1 model, which is widely used in cardiac electrophysiology. We show that this instability exists in this model, study its manifestation and discuss its relation to cardiac arrhythmogenesis.

P6-23: Instability of reentry in thick myocardial slabs: Negative filament tension in Luo-Rudy model

P6-23: Instability of reentry in thick myocardial slabs: Negative filament tension in Luo-Rudy model

Tension of organizing filaments of scroll waves

We consider the asymptotic theory for the dynamics of organizing filaments of three-dimensional scroll waves. For a generic autowave medium where two dimensional vortices do not meander, we show that some of the coefficients of the evolution equation are always zero. This simpler evolution equation predicts a monotonic change of the total filament length with time, independently of initial conditions. Whether the filament will shrink or expand is determined by a single coefficient, the filament tension, that depends on the medium parameters. We illustrate the behaviour of scroll wave filaments with positive and negative tension by numerical experiments. In particular, we show that in the case of negative filament tension, the straight filament is unstable, and its evolution may lead to a multiplication of vortices.