Uhley HN (1961) SUMMARY Arrhythmias were simulated in sheets or cables, consisting of coupled excitable elements, which were characterized by a simple regenerative mechanism. The geometry of the network, the amount of coupling among individual elements, and the properties of the elements relating to excitability, automaticity, and duration of the refractory period could be adjusted arbitrarily in an interactive computer program. When a critical amount of coupling was present between automatic and nonautomatic cells, sustained repetitive activity could be initiated and stopped by stimulation of the elements. Using this mechanism, it also was possible to evoke reciprocal activity in a one-dimensional cable. In uniform sheets of coupled elements, circus movement of the activation front could be evoked.
The presence of an obstacle or dispersion of the refractory periods of the elements was not a prerequisite for the initiation of circus movements. The vortex of circus movements in the homogeneous sheets consisted of elements which were inactivated by depolarizing currents from the circulating wavefront. In sheets of sufficient size, multiple vortices could be present. Circ Res 47: 454-466, 1980WE used computer simulation to study the possible role of spatial interaction among excitable elements in the mechanisms underlying cardiac arrhythmias, of both the focal and the reentrant type. Intuitively, the mechanism of focal tachycardias is thought to reside mainly in the ionic properties of the cell membrane, whereas the involvement of many interacting cells is a prerequisite for reentrant arrhythmias. We were interested in whether it would be possible to evoke both focal and reentrant arrhythmias in a synthetic sheet consisting of a primitive kind of excitable element, and whether the influence the elements exert on each other would play an important role in the genesis and maintenance of these arrhythmias. As it turns out, many of the features of clinical and experimental tachycardias could be simulated rather easily in such a model, and the results suggest that the role of spatial interaction among cardiac cells may be of considerable importance in both types of arrhythmia. Although many model studies of impulse propagation have been published, relatively few of them deal with sheets consisting of large numbers of