Simulation of Cardiac Ischemia and Arrhythmias - - PDF document

simulation of cardiac ischemia and arrhythmias
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Simulation of Cardiac Ischemia and Arrhythmias - - PDF document

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SLIDE 1

Simulation of Cardiac Ischemia and Arrhythmias

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CVRTI

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SLIDE 2

CARMA Heart Disease is a Killer

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SLIDE 3

Simulation of Ischemia Ischemia

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SLIDE 4

Supply Demand

Coronary Supply versus Demand

Supply Demand

Coronary Supply versus Demand

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SLIDE 5

Supply Demand

Ischemia!

Coronary Supply versus Demand

Supply Demand

Coronary Supply versus Demand

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SLIDE 6

Supply Demand

Ischemia!

Coronary Supply versus Demand Heart Attacks and the ECG

Continuous monitoring:

! 30-50% error rate ! Lead locations unclear,

suboptimal

! Tracks changes dynamically

Stress testing

! Low sensitivity/specificity ! Thresholds variable ! Tracks changes during stress

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SLIDE 7

LV

Ischemic Zone

RV

Hopenfeld et al. JCE, 15:1200, 2004

Blood Pump

Shome et al. IEEE EMBS, 2004

Experiments and Simulations Simulation of Ischemia

Vi, gil, git Ve, gel, get Vm Extracellular Intracellular

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SLIDE 8

Model Making

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The Tools

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SLIDE 9

40% Transmural 70% Transmural 90% Transmural

A B

Comparing Models to Experiments

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The Goal

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SLIDE 10

Simulation of Atrial Arrhythmias Fibrosis Linked to AF

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SLIDE 11

Fibrosis Linked to AF Modeling Approach

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Extracellular Intracellular

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SLIDE 12

Model Construction Initial Results