Specialized conduction tissues mediate coordinated propagation of
electrical activity through the adult vertebrate heart. Following
activation of the atria, the activation wave is slowed down in the
atrioventricular canal or node, after which it spreads rapidly into the
left and right ventricles via the His-Purkinje system (HPS). This
results in the ventricles being activated from the apex toward the
base, which is a hallmark of HPS function. The development of mature
HPS function follows significant phases of cardiac morphogenesis.
Initially, the cardiac impulse propagates in a slow, linear, and
isotropic fashion from the sinus venosus at the most caudal portion of
the tubular heart. Although the speed of impulse propagation gradually
increases as it travels toward the anterior regions of the heart tube,
the actual sequence of ventricular activation in the looped heart
proceeds in the same direction as blood flow. Eventually, the immature
base-to-apex sequence of ventricular activation undergoes an apparent
reversal, changing to the mature apex-to-base pattern. Using an optical
mapping approach, we demonstrate that the timing of this last
transition shows striking dependence on hemodynamic loading of the
ventricle, being accelerated by pressure overload and delayed in left
ventricular hypoplasia. Comparison of chick and mammalian hearts
revealed some striking similarities as well as key differences in the
timing of such events during cardiac organogenesis.