Difference equation model of ventricular parasystole as an interaction between cardiac pacemakers based on the phase response curve.

A model of extended ventricular parasystole proposed by Moe et al. (1977) was formulated as a system of nonlinear difference equations by using the phase response curve of myocardial pacemakers. A number of ECG patterns of ventricular arrhythmia such as bigeminy, trigeminy etc. were explained from the property of periodic solutions of the equation. Characteristic properties of special kinds of arrhythmia called "concealed bigeminy" and "concealed trigeminy" were derived mathematically by assuming the model, in relation to the equation of the analog neuron model. The present study was considered to be of clinical significance as a theoretical foundation for the study of genesis of cardiac arrhythmias.