Using cardiac ionic cell models to interpret clinical data
Author(s)
Type
Journal Article
Abstract
For over 100 years cardiac electrophysiology has been measured in the clinic. The electrical signals that can be measured span from noninvasive ECG and body surface potentials measurements through to detailed invasive measurements of local tissue electrophysiology. These electrophysiological measurements form a crucial component of patient diagnosis and monitoring; however, it remains challenging to quantitatively link changes in clinical electrophysiology measurements to biophysical cellular function. Multi-scale biophysical computational models represent one solution to this problem. These models provide a formal framework for linking cellular function through to emergent whole organ function and routine clinical diagnostic signals. In this review, we describe recent work on the use of computational models to interpret clinical electrophysiology signals. We review the simulation of human cardiac myocyte electrophysiology in the atria and the ventricles and how these models are being used to link organ scale function to patient disease mechanisms and therapy response in patients receiving implanted defibrillators, \cardiac resynchronisation therapy or suffering from atrial fibrillation and ventricular tachycardia. There is a growing use of multi-scale biophysical models to interpret clinical data. This allows cardiologists to link clinical observations with cellular mechanisms to better understand cardiopathophysiology and identify novel treatment strategies.
Date Issued
2021-05
Date Acceptance
2020-09-04
Citation
WIREs: Mechanisms of Disease, 2021, 13 (3)
ISSN
2692-9368
Publisher
Wiley Open Access
Journal / Book Title
WIREs: Mechanisms of Disease
Volume
13
Issue
3
Copyright Statement
© 2020 The Authors. WIREs Systems Biology and Medicine published by Wiley Periodicals LLC.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000575654000001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
Subjects
ATRIAL-FIBRILLATION
cardiac
COMPUTER-MODEL
COUPLED PERSONALIZATION
electrophysiology
ELECTROPHYSIOLOGY MODELS
HEART-FAILURE
HUMAN VENTRICULAR TISSUE
INSIGHTS
K+ CURRENT
Life Sciences & Biomedicine
MATHEMATICAL-MODEL
MECHANISMS
Medicine, Research & Experimental
multi-scale
Research & Experimental Medicine
Science & Technology
Publication Status
Published
Article Number
e1508
Date Publish Online
2020-10-07