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Thermal effects on cardiac alternans onset and development: A spatiotemporal correlation analysis

Alessandro Loppini, Alessandro Barone, and Alessio Gizzi*

Christian Cherubini

Flavio H. Fenton

Simonetta Filippi

  • Department of Engineering, Campus Bio-Medico University of Rome, 00128 Rome, Italy

  • Department of Science and Technology for Humans and the Environment and ICRA, Campus Bio-Medico University of Rome, 00128 Rome, Italy and International Center for Relativistic Astrophysics Network-ICRANet, 65122 Pescara, Italy

  • School of Physics, Georgia Institute of Technology, Atlanta, Georgia, USA

  • Department of Engineering and ICRA, Campus Bio-Medico University of Rome, 00128 Rome, Italy and International Center for Relativistic Astrophysics Network-ICRANet, 65122 Pescara, Italy

  • *a.gizzi@unicampus.it

Phys. Rev. E 103, L040201 – Published 5 April, 2021

DOI: https://doi.org/10.1103/PhysRevE.103.L040201

Abstract

Alternans of cardiac action potential duration represent critical precursors for the development of life-threatening arrhythmias and sudden cardiac death. The system's thermal state affects these electrical disorders requiring additional theoretical and experimental efforts to improve a patient-specific clinical understanding. In such a scenario, we generalize a recent work from Loppini et al. [Phys. Rev. E 100, 020201(R) (2019)] by performing an extended spatiotemporal correlation study. We consider high-resolution optical mapping recordings of canine ventricular wedges' electrical activity at different temperatures and pacing frequencies. We aim to recommend the extracted characteristic length as a potential predictive index of cardiac alternans onset and evolution within a wide range of system states. In particular, we show that a reduction of temperature results in a drop of the characteristic length, confirming the impact of thermal instabilities on cardiac dynamics. Moreover, we theoretically investigate the use of such an index to identify and predict different alternans regimes. Finally, we propose a constitutive phenomenological law linking conduction velocity, characteristic length, and temperature in view of future numerical investigations.

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