主动脉瓣狭窄的参数化实际手术模型

Carolina Rosas-Huerta, Jorge Martínez-Carballido
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引用次数: 1

摘要

这项工作提出了一个瓣膜模型,该模型使用心脏周期阶段和流量控制,以便根据其形状和通过瓣膜的血流值来更接近地表示其操作,以研究一些功能障碍,如主动脉瓣狭窄以及这些功能障碍如何影响心血管动力学。该动态模型使用了实际阀门操作的3个阶段;快速打开,缓慢关闭和快速关闭,每个阶段的形状可以模拟收缩期和舒张期的不同斜率,并且相位定时与心率相耦合。此外,可以使用参数来表示不同的心脏大小。在VHDL-AMS中实现了取代二极管的电气模拟电路的阀模型。为了模拟动态血流,该模型在VENSIM中实现,该模型允许生成血流速度曲线和体积。模拟结果在心脏正常功能的参考范围内呈现值。该模型有利于独立瓣膜参数的变化,使每个心脏瓣膜都能被表示出来,也便于医务人员模拟主动脉狭窄等几种情况。
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Parameterized real operations based model for heart's valves with aortic stenosis
This work proposes a valve model that uses cardiac cycle phases and the flow control in order to model a closer representation of their operation based on its shape and values of the blood flow through the valve to study some dysfunctions such as aortic stenosis and how these affect cardiovascular dynamics. This dynamic model uses the 3 phases of a real valve operation; quick opening, slow closing, and quick closing, the shape for each phase is possible to simulate different slopes in the systolic and diastolic stages, and phase timing is coupled to the heart rate. Additionally one can use parameters to represent different hearts sizes. The valve model was implemented in VHDL-AMS for the electrical analog circuit replacing diodes. To simulate dynamic blood flow, the model was implemented in VENSIM, which allow for generation of blood flow velocity profiles and volumes. The simulation results present values in the reference ranges for a normal performance of the heart. This model will be helpful for independent valve's parameters change, so that each heart valves can be represented, also giving medical personnel to simulate several conditions such as the aortic stenosis.
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