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December 13, 2018Medical Engineering & Physics

Modeling left ventricular dynamics using a switched system approach based on a modified atrioventricular piston unit

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Key result

A systemic circulatory model incorporating a modified atrioventricular piston unit accurately reproduced realistic pressure-flow relationships in the LV chamber with a root mean squared error of 2.99 mmHg.

Why the study?

The contribution of longitudinal atrioventricular plane displacement to ventricular pumping has drawn increasing attention.

Does a switched system model based on a modified atrioventricular piston unit accurately reproduce realistic pressure-flow relationships in the LV chamber?

Population

1 patient undergoing routine diagnostic cardiac catheterization with LV angiography

Comparison

Estimated LV pressure from a switched system circulatory model vs measured clinical data

Design

Computational modeling and validation study

Authors

HHHuan HuangGuangxi Medical UniversityZSZhan ShuUniversity of AlbertaBSBo SongJiangsu Normal University

Discussion

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Implication

May aid preclinical device testing; leaves open clinical translation pending human validation.

Structured PICO

Does a switched system model based on a modified atrioventricular piston unit accurately reproduce realistic pressure-flow relationships in the LV chamber?

P
Population
A single patient undergoing routine diagnostic cardiac catheterization with LV angiography used for model validation.
I
Intervention
Systemic circulatory model incorporating a modified atrioventricular piston unit on a switched system form
C
Comparator
Measured LV pressure-volume loop from the patient
O
Outcome
Root mean squared error between measured and estimated LV pressuresurrogate

A novel computational model incorporating longitudinal atrioventricular plane displacement accurately reproduces realistic left ventricular pressure-flow relationships.

Cite This Study

Huang et al. (2018) studied this question. Modified atrioventricular piston unit model vs. Measured LV pressure was evaluated on Root mean squared error between measured and estimated LV pressure. A systemic circulatory model incorporating a modified atrioventricular piston unit accurately reproduced realistic pressure-flow relationships in the LV chamber with a root mean squared error of 2.99 mmHg.

synapsesocial.com/papers/6a207827a40bcbc79e099bafhttps://doi.org/10.1016/j.medengphy.2018.12.007
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Instantaneous Pressure-Volume Relationships and Their Ratio in the Excised, Supported Canine Left Ventricle1974 · 1,336 citations
  2. 2Load Independence of the Instantaneous Pressure-Volume Ratio of the Canine Left Ventricle and Effects of Epinephrine and Heart Rate on the Ratio1973 · 1,526 citations
  3. 3Modeling Ventricular Function during Cardiac Assist: Does Time-Varying Elastance Work?2006 · 53 citations
  4. 4A Dynamical State Space Representation and Performance Analysis of a Feedback-Controlled Rotary Left Ventricular Assist Device2009 · 157 citations
  5. 5The quantitative relationship between longitudinal and radial function in left, right, and total heart pumping in humans2007 · 210 citations