# Electrical Mapping

Section author: Fernando Campos <fernando.campos@kcl.ac.uk>

This tutorial demonstrates how to compute local activation times (LATs) and action potential durations (APDs) of cells in a cardiac tissue.

## Electrical Mapping

The wavelength of the cardiac impulse, given by the product of conduction velocity (CV) and refractory period, is of utmost importance for the study of arrhythmia mechanisms. The assessment of the CV as well as the refractory period of the cardiac action potential (AP) relies on the determination of activation and repolarization times, respectively. Experimentally, these are usually calculated based on 1) transmembrane voltages measured by glass micro-electrodes or in optical mapping; or 2) extracellular potentials measured at the surface of the tissue.

The estimation of activation/repolarization times is based on an event detector that records the instants when the selected event type occurs. Local activation time (LAT), for instance, is usually taken as the time of maximum or the minimum :

Fig. 106 Action potential in an uncoupled cell. Upper panel: transmembrane potential and its time derivative . Lower panel: extracellular potential and its time derivative . LAT is usually taken as the time of maximum or the minimum .

Instead of using derivatives, LATs can also been estimated by the crossing of a threshold value provided that the chosen value reflects the sodium channel activation since they are responsible for the rising phase of AP. One could, for instance, pick the time instant when crosses -10 mV with a positive slope. Equally, one could look for crossing of with a negative slope to detect repolarization events. AP duration (APD) can then be computed as the difference between repolarization and activation times. The detection of activation () and repolarization () times based on threshold crossing is illustrated below:

Fig. 107 Activation (LAT) and repolarization times and computed using the threshold crossing method. .

## Problem Setup

This example will run a simulation using a 2D sheet model (1 cm x 1 cm). A transmembrane stimulus current of 100 uA/cm^2 is applied for a period of 1 ms at the middle of the left side of the tissue. A ground electrode is placed at the opposite side of the stimulating electrode. Simulation of electrical activity is based on the bidomain equations. Cellular dynamics cardiac myocytes within the tissue are described using the Modified Beeler-Router Drouhard-Roberge (MBRDR) model. Activation times are obtained either from or using a threshold crossing method, whereas repolarization can only be obtained by threshold crossing from . Estimation of repolarization times from is out of the scope of this tutorial.

## Usage

To run this tutorial :

cd tutorials/08_lats

./run.py --help


The following optional arguments are available (default values are indicated):

--quantity          Quantity/variable/signal used to compute activation time
Options: {vm,phie}
Default: vm
--act-threshold     The threshold value for determining activation from :math:V_{\mathrm m} or :math:\phi_{\mathrm e}
Default: -10 mV
--rep-threshold     The threshold value for determining repolarization from :math:V_{\mathrm m}
Default: -70 mV
--show-APDs         Visualize APDs instead of LATs


If the program is run with the --visualize option, meshalyzer will automatically load the computed activation sequence (LATs). If the --show_APDs is given, then the computed APDs will be loaded:

Visualize LATs:
./run.py --visualize

Visualize APDs:
./run.py --show-APDs


## Interpreting Results

Differences between activation sequences computed from or and/or with different thresholds can be appreciated with meshalyzer (--visualize). The activation sequence for the default parameters looks like this:

Fig. 108 Activation sequence computed from (--act-threshold=-10) obtained after delivering a stimulus current in the middle of the left side tissue.

Note

• It is important to note that while computing activation from -lats[].mode has to be set to zero. This is because is about -85 mV in cardiac cells at rest and rapidly rises to about +40 mV during the activation phase. This means will cross the threshold with a positive slope. While computing repolarization, on the other hand, goes from positive values back to the rest. The threshold will be then crossed with a negative slope.

Fig. 109 Activation sequence computed from (--act-threshold=-10) obtained after delivering a stimulus current in the middle of the left side tissue.

Note

• Unlike the shape of which remains pretty much the same in all cells, morphology may vary depending on its position in relation to both stimulation and ground electrodes. Thus, LATs obtained based on might differ from those obtained from .
• If the criteria for threshold crossing detection is never satisfied, the resulting entry in the output file will be -1. See action sequence obtained from .

The computed APDs using the default parameters looks like this (use --show-APDs instead of --visualize):

Fig. 110 Action potential durations computed using the default thresholds (--act-threshold=-10 and --rep-threshold=-70) after delivering a stimulus current in the middle of the left side of the tissue.

## CARPentry Parameters

The relevant parameters used in the tissue-scale simulation are shown below:

# Number of events to detect
-num_LATs  = 2

# Event 1: activation
-lats[0].ID         = 'ACTs'
-lats[0].all        = 0
-lats[0].measurand  = 0
-lats[0].threshold  = -10
-lats[0].mode       = 0

# Event 2: repolarization
-lats[1].ID         = 'REPs'
-lats[1].all        = 0
-lats[1].measurand  = 0
-lats[1].threshold  = -70
-lats[1].mode       = 1
`

num_LATs referes to the number of events we want to detect. In this tutorial there are two events: activation and repolarization. -lats[0] are options to compute activation while -lats[1] are options to compute repolarization. -lats[].ID is the name of output file; -lats[].all tells CARP if it should detect only the first event (-lats[].all = 0), i.e. first beat, of all of them (-lats[].all = 1); -lats[].measurand refers to the quantity: (0) or (1); -lats[].threshold is the threshold value for determining the event; finally, -lats[].mode tells CARP to look for threshold crossing with a either a positive or negative slope.