Key result
Reduced 17-variable TP06 model accurately predicts early afterdepolarizations and tissue wave break-up.
Reducing the 19-dimensional TP06 cardiac cell model to 17 dimensions enables bifurcation analysis that accurately predicts early afterdepolarizations and tissue-level wave break-up.
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Reduced cardiac models predict EADs via bifurcation analysis; leaves open clinical translation to arrhythmia therapies.
The 19-dimensional TP06 cardiac muscle cell model is reduced to a 17-dimensional version, which satisfies the required conditions for performing an analysis of its dynamics by means of bifurcation theory. The reformulated model is shown to be a good approximation of the original one. As a consequence, one can extract fairly precise predictions of the behavior of the original model from the bifurcation analysis of the modified model. Thus, the findings of bifurcations linked to complex dynamics in the modified model---like early afterdepolarizations (EADs), which can be precursors to cardiac death---predicts the occurrence of the same dynamics in the original model. It is shown that bifurcations linked to EADs in the modified model accurately predict EADs in the original model at the single cell level. Finally, these bifurcations are linked to wave break-up leading to cardiac death at the tissue level.
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Erhardt et al. (2022) studied Early afterdepolarizations (EADs) and wave break-up in cardiac muscle cells and tissue. Bifurcation analysis of a modified 17-dimensional TP06 cardiac muscle cell model vs. Original 19-dimensional TP06 cardiac muscle cell model was evaluated on Prediction of early afterdepolarizations (EADs) at the single cell level and wave break-up at the tissue level. A reduced 17-dimensional TP06 cardiac cell model accurately predicted early afterdepolarizations and tissue-level wave break-up in the original 19-dimensional model via bifurcation analysis.
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