Mathematical Modeling to Investigate Antiarrhythmic Drug Side Effects: Rate-Dependence Role in Ionic Currents and Action Potentials Shape in the O’Hara Model

Sudden cardiac death due to ventricular arrhythmia is one of the leading causes of mortality in the world. In the last decades, it has proven that anti-arrhythmic drugs, which prolong the refractory period by means of prolongation of the cardiac action potential duration (APD), play a good role in preventing of relevant human arrhythmias. However, it has long been observed that the “class III antiarrhythmic effect” diminish at faster heart rates and that this phenomenon represent a big weakness, since it is the precise situation when arrhythmias are most prone to occur. It is well known that mathematical modeling is a useful tool for investigating cardiac cell behavior. In the last 60 years, a multitude of cardiac models has been created; from the pioneering work of Hodgkin and Huxley (1952), who first described the ionic currents of the squid giant axon quantitatively, mathematical modeling has made great strides. The O’Hara model, that I employed in this research work, is one of the modern computational models of ventricular myocyte, a new generation began in 1991 with ventricular cell model by Noble et al. Successful of these models is that you can generate novel predictions, suggest experiments and provide a quantitative understanding of underlying mechanism. Obviously, the drawback is that they remain simple models, they don’t represent the real system. The overall goal of this research is to give an additional tool, through mathematical modeling, to understand the behavior of the main ionic currents involved during the action potential (AP), especially underlining the differences between slower and faster heart rates. In particular to evaluate the rate-dependence role on the action potential duration, to implement a new method for interpreting ionic currents behavior after a perturbation effect and to verify the validity of the work proposed by Antonio Zaza using an injected current as a perturbing effect.

Simulating event related potentials in tasks involving conflict resolution: a neural network

In this thesis, the main Executive Control theories are exposed. Methods typical of Cognitive and Computational Neuroscience are introduced and the role of behavioural tasks involving conflict resolution in the response elaboration, after the presentation of a stimulus to the subject, are highlighted. In particular, the Eriksen Flanker Task and its variants are discussed. Behavioural data, from scientific literature, are illustrated in terms of response times and error rates. During experimental behavioural tasks, EEG is registered simultaneously. Thanks to this, event related potential, related with the current task, can be studied. Different theories regarding relevant event related potential in this field - such as N2, fERN (feedback Error Related Negativity) and ERN (Error Related Negativity) – are introduced. The aim of this thesis is to understand and simulate processes regarding Executive Control, including performance improvement, error detection mechanisms, post error adjustments and the role of selective attention, with the help of an original neural network model. The network described here has been built with the purpose to simulate behavioural results of a four choice Eriksen Flanker Task. Model results show that the neural network can simulate response times, error rates and event related potentials quite well. Finally, results are compared with behavioural data and discussed in light of the mentioned Executive Control theories. Future perspective for this new model are outlined.