LabHEART: an interactive computer model of rabbit ventricular myocyte ion channels and Ca transport

An interactive computer program,LabHEART, was developed to simulate the action potential (AP), ioniccurrents, and Ca handling mechanisms in a rabbit ventricular myocyte.User-oriented, its design allows switching between voltage and currentclamp and easy on-line manipulation of key parameters to change theoriginal formulation. The model reproduces normal rabbit ventricularmyocyte currents, Ca transients, and APs. We also changed parameters to simulate data from heart failure (HF) myocytes, including reduced transient outward (I_to) and inward rectifying Kcurrents (I_K1), enhanced Na/Ca exchangeexpression, and reduced sarcoplasmic reticulum Ca-ATPase function, butunaltered Ca current density. These changes caused reduced Ca transientamplitude and increased AP duration (especially at lower frequency) asobserved experimentally. The model shows that the increased Na/Caexchange current (I_NaCa) in HF lowers theintracellular [Ca] threshold for a triggered AP from 800 to 540 nM. Similarly, the decrease in I_K1reduces the threshold to 600 nM. Changes in I_tohave no effect. Combining enhanced Na/Ca exchange with reducedI_K1 (as in HF) lowers the threshold to triggeran AP to 380 nM. These changes reproduce experimental results inHF, where the contributions of different factors are notreadily distinguishable. We conclude that the triggered APs thatcontribute to nonreentrant ventricular tachycardia in HF are dueapproximately equally (and nearly additively) to alterations inI_NaCa and I_K1. A freecopy of this software can be obtained athttp://www.meddean.luc.edu/lumen/DeptWebs/physio/bers.html.