151. Stochastic spontaneous calcium release events and sodium channelopathies promote ventricular arrhythmias
- Author
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Yohannes Shiferaw, Edward J. Vigmond, Fernando O. Campos, Gernot Plank, Deutsches Herzzentrum Berlin, Medical University Graz, Modélisation et calculs pour l'électrophysiologie cardiaque (CARMEN), IHU-LIRYC, Université Bordeaux Segalen - Bordeaux 2-CHU Bordeaux [Bordeaux]-Université Bordeaux Segalen - Bordeaux 2-CHU Bordeaux [Bordeaux]-Institut de Mathématiques de Bordeaux (IMB), Université Bordeaux Segalen - Bordeaux 2-Université Sciences et Technologies - Bordeaux 1-Université de Bordeaux (UB)-Institut Polytechnique de Bordeaux (Bordeaux INP)-Centre National de la Recherche Scientifique (CNRS)-Université Sciences et Technologies - Bordeaux 1-Université de Bordeaux (UB)-Institut Polytechnique de Bordeaux (Bordeaux INP)-Centre National de la Recherche Scientifique (CNRS)-Inria Bordeaux - Sud-Ouest, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria), European Space Research and Technology Centre (ESTEC), European Space Agency (ESA), Institut de Mathématiques de Bordeaux (IMB), Université Bordeaux Segalen - Bordeaux 2-Université Sciences et Technologies - Bordeaux 1 (UB)-Université de Bordeaux (UB)-Institut Polytechnique de Bordeaux (Bordeaux INP)-Centre National de la Recherche Scientifique (CNRS)-Université Bordeaux Segalen - Bordeaux 2-Université Sciences et Technologies - Bordeaux 1 (UB)-Université de Bordeaux (UB)-Institut Polytechnique de Bordeaux (Bordeaux INP)-Centre National de la Recherche Scientifique (CNRS)-Inria Bordeaux - Sud-Ouest, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-IHU-LIRYC, Université Bordeaux Segalen - Bordeaux 2-CHU Bordeaux [Bordeaux]-CHU Bordeaux [Bordeaux], and Agence Spatiale Européenne = European Space Agency (ESA)
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Purkinje fibers ,Sodium ,Heart Ventricles ,General Physics and Astronomy ,chemistry.chemical_element ,Action Potentials ,030204 cardiovascular system & hematology ,Calcium ,behavioral disciplines and activities ,Purkinje Fibers ,03 medical and health sciences ,0302 clinical medicine ,[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system ,Heart Conduction System ,Internal medicine ,medicine ,Myocyte ,Animals ,Focus Issue: Complex Cardiac Dynamics ,Computer Simulation ,Myocytes, Cardiac ,cardiovascular diseases ,Mathematical Physics ,Calcium metabolism ,Stochastic Processes ,business.industry ,Applied Mathematics ,Models, Cardiovascular ,Statistical and Nonlinear Physics ,Arrhythmias, Cardiac ,Reentry ,Ventricular Premature Complexes ,Electrophysiology ,030104 developmental biology ,medicine.anatomical_structure ,chemistry ,Cardiology ,cardiovascular system ,Channelopathies ,Rabbits ,Electrical conduction system of the heart ,business - Abstract
International audience; Premature ventricular complexes (PVCs), the first initiating beats of a variety of cardiac arrhythmias, have been associated with spontaneous calcium release (SCR) events at the cell level. However, the mechanisms underlying the degeneration of such PVCs into arrhythmias are not fully understood. The objective of this study was to investigate the conditions under which SCR-mediated PVCs can lead to ventricular arrhythmias. In particular, we sought to determine whether sodium (Na+) current loss-of-function in the structurally normal ventricles provides a substrate for unidirectional conduction block and reentry initiated by SCR-mediated PVCs. To achieve this goal, a stochastic model of SCR was incorporated into an anatomically accurate compute model of the rabbit ventricles with the His-Purkinje system (HPS). Simulations with reduced Na+ current due to a negative-shift in the steady-state channel inactivation showed that SCR-mediated delayed afterdepolarizations led to PVC formation in the HPS, where the electrotonic load was lower, conduction block, and reentry in the 3D myocardium. Moreover, arrhythmia initiation was only possible when intrinsic electrophysiological heterogeneity in action potential within the ventricles was present. In conclusion, while benign in healthy individuals SCR-mediated PVCs can lead to life-threatening ventricular arrhythmias when combined with Na+ channelopathies.
- Published
- 2017