Recent advances in high performance computing combined with increasing know
ledge of them kinetics of biochemical reactions and transport processes hav
e allowed us to develop mathematical models that describe various aspects o
f cardiac physiology. These models include both single cell and three-dimen
sional tissue models that simulate important features of cardiac electrophy
siology, mechanics, and metabolism. We have begun to couple these models wi
th the goal of creating a fully integrated cardiac model that can describe
the pathophysiology of the ischaemic heart. Here we present an outline of t
his work.