Phase resetting and bifurcation in the ventricular myocardium

With the dynamic differential equations of Beeler, G. W., and H. Reuter (1977, J. Physiol. [Lond.]. 268:177-210), we have studied the oscillatory behavior of the ventricular muscle fiber stimulated by a depolarizing applied current I app. The dynamic solutions of BR equations revealed that as I app increases, a periodic repetitive spiking mode appears above the subthreshold I app, which transforms to a periodic spiking-bursting mode of oscillations, and finally to chaos near the suprathreshold I app (i.e., near the termination of the periodic state). Phase resetting and annihilation of repetitive firing in the ventricular myocardium were demonstrated by a brief current pulse of the proper magnitude applied at the proper phase. These phenomena were further examined by a bifurcation analysis. A bifurcation diagram constructed as a function of I app revealed the existence of a stable periodic solution for a certain range of current values. Two Hopf bifurcation points exist in the solution, one just above the lower periodic limit point and the other substantially below the upper periodic limit point. Between each periodic limit point and the Hopf bifurcation, the cell exhibited the coexistence of two different stable modes of operation; the oscillatory repetitive firing state and the time-independent steady state. As in the Hodgkin-Huxley case, there was a low amplitude unstable periodic state, which separates the domain of the stable periodic state from the stable steady state. Thus, in support of the dynamic perturbation methods, the bifurcation diagram of the BR equation predicts the region where instantaneous perturbations, such as brief current pulses, can send the stable repetitive rhythmic state into the stable steady state.