Emergence of spontaneous rhythm disorders in self-assembled networks of heart cells

Emergence of spontaneous rhythm disorders in self-assembled networks of heart cells

Soen, Y., Cohen, N. and Braun, E.
(1999): Biophysical Journal

ABSTRACT:
A new, non-invasive optical recording technique is employed to study the spontaneous, long-term contractile activity of strongly-coupled, self-assembled networks of heart cells. Continuous recording throughout the network's lifetime reveals a variety of rhythm disorders, which have never been reported to occur without external stimulation. Here, we focus on two typical dynamical patterns: sub-harmonic structures with frequent, irregular, inter-mode transitions, and sudden alternations between two dominant rates (intermittent dynamics). Both rhythm disorders appear to occur throughout the field of view, with only slight time lags among different regions. In both patterns, the degree of synchronization between different regions is insensitive to the changes in the dynamical pattern. Neverthe-less, the intermittent pattern exhibits dynamic time lag alternations that coincide with the transitions between the rates. Further examination of both patterns sug-gests the emergence of one or more stable pacemakers in the developed network. Based on these findings, we propose a model of one ore more nonlinear oscillators. coupled to an excitable element. This model shows that similar disordered sub-harmonics can be produced by near threshold excitation of the ecitable element by a single, slightly variable pacemaker. Furthermore, a simple interference effect between two, almost identical pacemakers can produce the essential features of the intermittent rate transitions.