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Resonant drift

The tip of the spiral wave solutions presented in Fig. 3-7 moves irregularly in a complicated trajectory, but does not move out of the medium: if the medium is large enough to contain the early transient motion around an almost linear core then the spiral wave remains in the medium.

Small amplitude, spatially uniform repetitive stimulation can be used to produce directed movement of a rigidly rotating spiral wave, if the period of stimulation is equal to the period of the spiral wave rotation (resonant drift). If the stimulation period is close but not equal to the rotation period of the spiral a circular drift is obtained [29, 30]. If the stimulation period is fixed, this drift is strongly influenced by medium inhomogeneities [31]. Such a drift has been observed in reaction-diffusion model of rabbit atrium based on Earm-Hilgemann-Noble kinetics [32]. In the OGPV model, even in the absence of inhomogeneities, the instantaneous frequency of the spiral is always changing, because of the meander and the slow change of the spiral wave period due to aging and so a pure resonant drift is not observed at any constant frequency. A typical trajectory, produced by constant frequency perturbation of a meandering OGPV spiral, is shown in Fig. 8.

   figure371
Figure 8: A tex2html_wrap_inline2091 piece of the tip trajectory of a spiral wave in the 2D OGPV model under uniform external forcing F(x,y,t)=F(t) of pulses of amplitude of tex2html_wrap_inline2095 ( tex2html_wrap_inline2097 ) and duration of tex2html_wrap_inline1833 , with period tex2html_wrap_inline2007 . The balls show the tip positions at the beginning of each stimulus. Newer pieces are darker and older are lighter. This is defined by three processes stimulation+meander+aging.

The resultant motion is a nonlinear interaction between the pattern of meander and the motion produced by the perturbations. The directed motion of resonant drift is much more robust if instead of choosing a fixed frequency, some kind of feedback is used to synchronise the stimulation with the spiral wave rotation [33, 30]. Such feedback control can provide the stable resonant drift in the OGPV model [19]. Figure 9 shows four tip trajectories produced by repetitive stimulation applied at four different fixed delays after the wavefront reached the bottom left corner. The delay determines the initial direction of drift. A repetitive perturbation of 15% the amplitude of the single shock defibrillation threshold produces a directed motion with a velocity of about tex2html_wrap_inline2103 .

   figure390
Figure 9: Tips trajectories of resonantly drifting spirals, with feedback via\ registered electrode in the bottom left hand corner of the medium and delays 0, 25, 50 and tex2html_wrap_inline2105 ; average period of rotation is within 100 to tex2html_wrap_inline2007 , square size tex2html_wrap_inline1993 . The uniform stimulation F(x,y,t)=F(t) was by pulses tex2html_wrap_inline1833 long tex2html_wrap_inline2115 ( tex2html_wrap_inline2117 ) strong. The balls show the tip positions at the beginning of each stimulus. The visible fractures in the trajectories correspond to different phase locks between stimulation and meander.


next up previous
Next: Defibrillation theory Up: Defibrillation Previous: Defibrillation

Vadim Biktashev
Sun Sep 28 05:44:10 GMT 1997