In order to better understand biatrial conduction,investigate various conduction pathways,and compare the differences between isotropic and anisotropic conductions in human atria,we present a simulation study of biatr...In order to better understand biatrial conduction,investigate various conduction pathways,and compare the differences between isotropic and anisotropic conductions in human atria,we present a simulation study of biatrial conduction with known/assumed conduction pathways using a recently developed human atrial model.In addition to known pathways:(1) Bachmann's bundle(BB),(2) limbus of fossa ovalis(LFO),and(3) coronary sinus(CS),we also hypothesize that there exist two fast conduction bundles that connect the crista terminalis(CT),LFO,and CS.Our simulation demonstrates that use of these fast conduction bundles results in a conduction pattern consistent with experimental data.The comparison of isotropic and anisotropoic conductions in the BB case showed that the atrial working muscles had small effect on conduction time and conduction speed,although the conductivities assigned in anisotropic conduction were two to four times higher than the isotropic conduction.In conclusion,we suggest that the hypothesized intercaval bundles play a significant role in the biatrial conduction and that myofiber orientation has larger effects on the conduction system than the atrial working muscles.This study presents readers with new insights into human atrial conduction.展开更多
基金Project supported by the National Basic Research Program (973) of China (No. 2007CB512100)the National High-Tech R & D Program (863) of China (No. 2006AA02Z307)+1 种基金the National Natural Science Foundation of China (Nos. 81171421 and 61101046)the Zhejiang Provincial Natural Science Foundation of China (No. Z1080300)
文摘In order to better understand biatrial conduction,investigate various conduction pathways,and compare the differences between isotropic and anisotropic conductions in human atria,we present a simulation study of biatrial conduction with known/assumed conduction pathways using a recently developed human atrial model.In addition to known pathways:(1) Bachmann's bundle(BB),(2) limbus of fossa ovalis(LFO),and(3) coronary sinus(CS),we also hypothesize that there exist two fast conduction bundles that connect the crista terminalis(CT),LFO,and CS.Our simulation demonstrates that use of these fast conduction bundles results in a conduction pattern consistent with experimental data.The comparison of isotropic and anisotropoic conductions in the BB case showed that the atrial working muscles had small effect on conduction time and conduction speed,although the conductivities assigned in anisotropic conduction were two to four times higher than the isotropic conduction.In conclusion,we suggest that the hypothesized intercaval bundles play a significant role in the biatrial conduction and that myofiber orientation has larger effects on the conduction system than the atrial working muscles.This study presents readers with new insights into human atrial conduction.
