THE SIMPLIFIED FITZHUGH-NAGUMO MODEL WITH ACTION-POTENTIAL DURATION RESTITUTION - EFFECTS ON 2D-WAVE PROPAGATION

A modification of the simplified FitzHugh-Nagumo (FN) equations is proposed for introducing a residual component of the slow variable, which determines the restitution of action potential duration (APD) also known as the interval-excitation duration relationship. The three-step-wise approximation of epsilon-(E) which is widely used in current publications is replaced in a new model by a four-step approximation. This change is used for studying by computer simulation the effects of APD restitution properties independently of the APD and refractory period on 2D wave propagation in an isotropic matrix (made by 128 x 128 nodes). The method for fitting the model to the given experimental restitution data (obtained from myocardial cells) is presented. The computer simulations implemented on a massively parallel computer (Connection Machine) showed at least three important qualitative distinctions in behavior which demonstrate the effect of APD restitution: changes in the speed and wavelength of propagated waves with the period of stimulation, non-stationary propagation of spiral waves, and site-specific induction of spiral waves with premature stimulation not on the tail of the previous wave. Quantitative effects of differing restitution properties are expressed in the size and location of a window of vulnerability in 2D excitable media. These windows are characterized by the appearance of single and double spiral waves in response to premature stimulation applied inside the window. Thus the APD restitution incorporated in the FN model produces a significant effect on the formation and propagation of spiral waves.