Key result
A data-driven phase-isostable reduction strategy successfully identified energy-optimal, nonfeedback control inputs to stabilize a period-1, alternans-free solution.
Why the study?
Cardiac alternans is widely considered a precursor to more deadly cardiac arrhythmias, but standard phase reduction techniques fail to replicate nonlinear behaviors required for nonfeedback stabilization.
A novel data-driven mathematical modeling approach can identify optimal nonfeedback control inputs to stabilize cardiac alternans, potentially offering new computational strategies for arrhythmia prevention.
Offers no immediate clinical application for alternans stabilization; leaves open experimental validation of data-driven phase-isostable control.
Phase-isostable reduction is an emerging model reduction strategy that can be used to accurately replicate nonlinear behaviors in systems for which standard phase reduction techniques fail. In this work, we derive relationships between the cycle-to-cycle variance of the reduced isostable coordinates for systems subject to both additive white noise and periodic stimulation. Using this information, we propose a data-driven technique for inferring nonlinear terms of the phase-isostable coordinate reduction framework. We apply the proposed model inference strategy to the biologically motivated problem of eliminating cardiac alternans, an arrhythmia that is widely considered to be a precursor to more deadly cardiac arrhythmias. Using this strategy, by simply measuring a series of action potential durations in response to periodic stimulation, we are able to identify energy-optimal, nonfeedback control inputs to stabilize a period-1, alternans-free solution.
No takes yet. Share an insight, caveat, or question.
Das et al. (2021) studied Cardiac alternans. Data-driven phase-isostable reduction strategy was evaluated on Stabilization of a period-1, alternans-free solution. A data-driven phase-isostable reduction strategy successfully identified energy-optimal, nonfeedback control inputs to stabilize a period-1, alternans-free solution.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: