Dynamics of a transmural scroll wave in ground squirrel myocardium

A study was made of tachyarrhythmia evoked by a premature stimulus (4 ms at 4–5 diastolic thresholds) following a train of rectangular pulses (4 ms at 2 diastolic thresholds, repetition rate of 0.5 or 2 s−1). The spatiotemporal distribution of the potential over the endo- and epicardial surfaces of a thin (∼1 mm) specimen of ground squirrel ventricular myocardium was monitored with two arrays of 32 unipolar electrodes each. The electrographic data were processed into isochrone maps reflecting the spread of activation over the surfaces. These maps were further analyzed to infer the 3D structure and dynamics of the vortex (scroll) wave. During the evolution of a transmural scroll, (i) the filament could be normal to the myocardial surfaces as well as oblique at varying angles (down to 12°); (ii) the scroll could drift as a whole, whereby the filament remained self-parallel or changed its inclination; in other cases, one (endocardial) core was anchored while the other changed its position (precession of the filament); (iii) the vortex cores on both or only one surface changed in size and shape; (iv) the filament could be repeatedly twisted through various angles and untwisted. Scroll rotation was attended with excitation breakthroughs that might have originated from filament bending as well as from focal sources.