In Silico Comparison of Phase Maps Based on Action Potential and Extracellular Potential

Abstract

In this work, a computer simulation of the reentrant ventricular tachycardia (VT) was used to investigate the peculiar properties of phase maps based on transmembrane potentials (TP) and extracellular potentials (EP). The simulation approach included the bidomain model with full myocardium-torso coupling, a realistic ionic model of the human cardiomyocytes and a personalized geometry of the heart and torso. The phase mapping pipeline includes a signal detrending and the Hilbert transform. It was demonstrated that TP-based phase maps correlated well with the propagation of cardiac excitation. In contrast, EP-based phase mapping provides some aberrations which can complicate electrophysiological interpretation of the phase maps in terms of cardiac activation sequence. It was also shown that a modification of the phase computation algorithm, including the sign inversion of signals and a special transformation of the phase plot, can partially eliminate these aberrations and make EP-based phase maps resemble TP-based maps. © 2018 Creative Commons Attribution.