Key result
Kinematic model predicts transient response and linear stability of excitable fibers under rate perturbations.
Why the study?
It is important to understand the stability and transient response of periodic traveling pulses in excitable cardiac fibers to sudden changes in the forcing period such as heart rate variations.
This mathematical modeling study provides an exact analytical solution for predicting the stability and transient behavior of electrical wave propagation in cardiac fibers following a sudden change in heart rate.
May guide mathematical models of cardiac wave stability after rate shifts; leaves open experimental validation and clinical translation.
Fibers of electrically coupled nerve or cardiac cells are among the best-known examples of excitable media. Such fibers are often forced periodically at one end by an impulsive electrical stimulus current, eliciting sequences of traveling pulses. If the excitable medium happens to be cardiac tissue, it is natural to ask whether a sudden change in the period of the forcing (e.g., the heart rate) might induce an abnormal pattern of electrical wave propagation. In this manuscript, we analyze the transient response of an excitable medium following a change in the period of impulsive forcing. There are two specific questions that we shall address: First, under what conditions is a periodic train of identical traveling pulses stable to small perturbations in the period of forcing? Second, in the stable regime, what can be said analytically regarding the transient behavior in response to a perturbation in the period of forcing? Instead of using the traditional reaction-diffusion model for wave propagation in excitable fibers, we analyze a kinematic model which describes the progress of each propagating wave front and wave back. The linearization of the kinematic model, presented as a recursive sequence of ordinary differential equations, can be solved exactly in terms of generalized Laguerre polynomials integrated against an exponential kernel. The solution gives the desired approximation to the transient behavior following a change in the forcing period and, with the aid of some basic functional analytic formalism, a criterion for linear stability of a periodic pulse train. In the appendix, we illustrate how this framework applies to a specific model of an excitable cardiac fiber.
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John Wesley Cain (2014) studied Cardiac tissue wave propagation. Perturbations of the forcing period was evaluated on Transient response and linear stability of a periodic pulse train. A kinematic model of excitable fibers provides an exact analytical solution for the transient response to forcing period perturbations and a criterion for linear stability of a periodic pulse train.
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