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. 2011:2011:437-40.
doi: 10.1109/IEMBS.2011.6090059.

A finite element approach for modeling micro-structural discontinuities in the heart

Affiliations

A finite element approach for modeling micro-structural discontinuities in the heart

Caroline Mendonca Costa Costa et al. Annu Int Conf IEEE Eng Med Biol Soc. 2011.

Abstract

The presence of connective tissue as well as interstitial clefts forms a natural barrier to the electrical propagation in the heart. At a microscopic scale, such uncoupling structures change the pattern of the electrical conduction from uniform towards complex and may play a role in the genesis of cardiac arrhythmias. The anatomical diversity of conduction structures and their topology at a microscopic size scale is overwhelming for experimental techniques. Mathematical models have been often employed to study the behavior of the electrical propagation at a sub-cellular level. However, very fine and computationally expensive meshes are required to capture all microscopic details found in the cardiac tissue. In this work, we present a numerical technique based on the finite element method which allows to reproduce the effects of microscopic conduction barriers caused by the presence of uncoupling structures without actually resolving these structures in a high resolution mesh, thereby reducing the computational costs significantly.

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Figures

Fig. 1
Fig. 1
High resolution histological image of a tissue slice from the rabbit ventricle. The staining (Masson’s trichrome) resulted in a coloring of cardiac cells (red), connective tissue (blue) and interstitial cleft spaces (white). The region marked by a red square was used for mesh generation.
Fig. 2
Fig. 2
(A) Selected section of the high resolution histological image used to built the FE meshes. (B) Results obtained after segmentation of the high resolution image. (C) Segmented image obtained with a reduced resolution. (D) Skeleton computed according to the high resolution segmented image.
Fig. 3
Fig. 3
Schematic representation of the renumbering algorithm to disconnect nodes of a FE mesh.
Fig. 4
Fig. 4
Spatial distribution of the transmembrane potential Vm in all three models at three different time instants (from top to bottom) after the stimulus onset. Results obtained with (A) the fine mesh, (B) the coarse mesh, and (C) applying the discontinuous FE formulation to the coarse mesh.

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