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Nagel, C; Espinosa, CB; Gillette, K; Gsell, MAF; Sanchez, J; Plank, G; Dossel, O; Loewe, A.
Comparison of Propagation Models and Forward Calculation Methods on Cellular, Tissue and Organ Scale Atrial Electrophysiology.
IEEE Trans Biomed Eng. 2023; 70(2):511-522 Doi: 10.1109/TBME.2022.3196144
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Co-Autor*innen der Med Uni Graz
Gillette Karli
Gsell Matthias
Plank Gernot

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OBJECTIVE: The bidomain model and the finite element method are an established standard to mathematically describe cardiac electrophysiology, but are both suboptimal choices for fast and large-scale simulations due to high computational costs. We investigate to what extent simplified approaches for propagation models (monodomain, reaction-Eikonal and Eikonal) and forward calculation (boundary element and infinite volume conductor) deliver markedly accelerated, yet physiologically accurate simulation results in atrial electrophysiology. METHODS: We compared action potential durations, local activation times (LATs), and electrocardiograms (ECGs) for sinus rhythm simulations on healthy and fibrotically infiltrated atrial models. RESULTS: All simplified model solutions yielded LATs and P waves in accurate accordance with the bidomain results. Only for the Eikonal model with pre-computed action potential templates shifted in time to derive transmembrane voltages, repolarization behavior notably deviated from the bidomain results. ECGs calculated with the boundary element method were characterized by correlation coefficients 0.9 compared to the finite element method. The infinite volume conductor method led to lower correlation coefficients caused predominantly by systematic overestimations of P wave amplitudes in the precordial leads. CONCLUSION: Our results demonstrate that the Eikonal model yields accurate LATs and combined with the boundary element method precise ECGs compared to markedly more expensive full bidomain simulations. However, for an accurate representation of atrial repolarization dynamics, diffusion terms must be accounted for in simplified models. SIGNIFICANCE: Simulations of atrial LATs and ECGs can be notably accelerated to clinically feasible time frames at high accuracy by resorting to the Eikonal and boundary element methods.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Heart Conduction System - physiology
Atrial Fibrillation - administration & dosage
Models, Cardiovascular - administration & dosage
Heart Atria - administration & dosage
Computer Simulation - administration & dosage
Cardiac Electrophysiology - administration & dosage
Heart - physiology

Find related publications in this database (Keywords)
Computational modeling
Biological system modeling
Mathematical models
Finite element analysis
Atrial electrophysiology
finite element method
local activation times
P waves
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