Key result
The bidomain model can be derived from the EMI model, yielding similar results for normal conduction but significantly overestimating conduction velocity when gap junction resistance is increased.
Why the study?
The bidomain model averages over many cardiomyocytes, leading to cell-based models like the EMI model to study conduction close to myocytes, but the relationship and approximation error between them required derivation.
The bidomain model is a valid approximation of the detailed cell-based EMI model for normal cardiac tissue, but loses accuracy when modeling conditions with increased intercellular resistance or larger cell sizes.
Supports bidomain use for large-scale simulations; leaves open when cell-resolved EMI alters local conduction predictions.
The bidomain model is considered to be the gold standard for numerical simulation of the electrophysiology of cardiac tissue. The model provides important insights into the conduction properties of the electrochemical wave traversing the cardiac muscle in every heartbeat. However, in normal resolution, the model represents the average over a large number of cardiomyocytes, and more accurate models based on representations of all individual cells have therefore been introduced in order to gain insight into the conduction properties close to the myocytes. The more accurate model considered here is referred to as the EMI model since both the extracellular space (E), the cell membrane (M) and the intracellular space (I) are explicitly represented in the model. Here, we show that the bidomain model can be derived from the cell-based EMI model and we thus reveal the close relation between the two models, and obtain an indication of the error introduced in the approximation. Also, we present numerical simulations comparing the results of the two models and thereby highlight both similarities and differences between the models. We observe that the deviations between the solutions of the models become larger for larger cell sizes. Furthermore, we observe that the bidomain model provides solutions that are very similar to the EMI model when conductive properties of the tissue are in the normal range, but large deviations are present when the resistance between cardiomyocytes is increased.
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Jæger et al. (2022) studied Cardiac electrophysiology. EMI model vs. Bidomain model was evaluated. The bidomain model can be derived from the EMI model, yielding similar results for normal conduction but significantly overestimating conduction velocity when gap junction resistance is increased.
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