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Finite element and finite volume‐element simulation of pseudo‐ECGs and cardiac alternans
Authors:Marie Dupraz  Simonetta Filippi  Alessio Gizzi  Alfio Quarteroni  Ricardo Ruiz‐Baier
Institution:1. Modeling and Scientific Computing, MATHICSE, école Polytechnique Fédérale de Lausanne, CH‐1015 Lausanne, Switzerland;2. Nonlinear Physics and Mathematical Modeling Lab, University Campus Bio‐Medico of Rome, I‐00128 Rome, Italy;3. MOX ‐ Politecnico di Milano, piazza Leonardo da Vinci 32, 20133 Milano, Italy;4. Institute of Earth Sciences, FGSE, University of Lausanne, CH‐1015 Lausanne, Switzerland
Abstract:In this paper, we are interested in the spatio‐temporal dynamics of the transmembrane potential in paced isotropic and anisotropic cardiac tissues. In particular, we observe a specific precursor of cardiac arrhythmias that is the presence of alternans in the action potential duration. The underlying mathematical model consists of a reaction–diffusion system describing the propagation of the electric potential and the nonlinear interaction with ionic gating variables. Either conforming piecewise continuous finite elements or a finite volume‐element scheme are employed for the spatial discretization of all fields, whereas operator splitting strategies of first and second order are used for the time integration. We also describe an efficient mechanism to compute pseudo‐ECG signals, and we analyze restitution curves and alternans patterns for physiological and pathological cardiac rhythms. Copyright © 2014 John Wiley & Sons, Ltd.
Keywords:finite element discretization  finite volume‐element method  reaction–  diffusion system  operator splitting  cardiac alternans  pseudo‐ECG  spatio‐temporal dynamics
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