20 research outputs found
Dynamical mechanism of atrial fibrillation: a topological approach
While spiral wave breakup has been implicated in the emergence of atrial
fibrillation, its role in maintaining this complex type of cardiac arrhythmia
is less clear. We used the Karma model of cardiac excitation to investigate the
dynamical mechanisms that sustain atrial fibrillation once it has been
established. The results of our numerical study show that spatiotemporally
chaotic dynamics in this regime can be described as a dynamical equilibrium
between topologically distinct types of transitions that increase or decrease
the number of wavelets, in general agreement with the multiple wavelets
hypothesis. Surprisingly, we found that the process of continuous excitation
waves breaking up into discontinuous pieces plays no role whatsoever in
maintaining spatiotemporal complexity. Instead this complexity is maintained as
a dynamical balance between wave coalescence -- a unique, previously
unidentified, topological process that increases the number of wavelets -- and
wave collapse -- a different topological process that decreases their number.Comment: 15 pages, 14 figure