H Seidel and H Herzel (1998)
Modeling Wenckebach Rhythms and the Influence of the Baroreceptor-Cardiac Reflex
IEEE Eng. Med. Biol. 17:22-25.
We embed a one-dimensional map describing the
atrioventricular conduction delay (originally
proposed by M. R. Guevara) into a complex
mathematical model of the baroreceptor-cardiac
control loop. The baroreflex feedback leads to a
qualitative change of cardiac dynamics if the mean
atrioventricular conduction delay is increased above
normal values. Such an increase is typical for
atrioventricular block of first and second
degree. We find entrainment and chaotic dynamics
between sinoatrial and atrioventricular nodal
impulses. For the chaotic regime we observe a strong
excitation of 10 s blood pressure oscillations.