Computational modeling demonstrates that re-entrant spiral waves in mammalian ventricular tissue can be controlled by resonant drift using feedback-driven stimulation.
Resonant drift remains preclinical; leaves open whether feedback algorithms can terminate reentry in intact hearts.
We characterize the meander of re-entrant excitation in a model of a sheet of mammalian ventricular tissue, and its control by resonant drift under feedback driven stimulation. The Oxsoft equations for excitability in a guinea pig single ventricular cell were incorporated in a two dimensional reaction-diffusion system to model homogeneous, isotropic tissue with a plane wave conduction velocity of 0.35 m s-1. Re-entrant spiral wave solutions have a spatially extended transient motion (linear core) that settles down into rotation with an irregular period of 100-110 ms around an irregular, multi-lobed spiky core. In anisotropic tissue this would appear as a linear conduction block. The typical velocity of drift of the spiral wave induced by low amplitude resonant forcing is 0.4 cm s-1.
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Biktashev et al. (1996) studied this question.
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