在人体经胸除颤过程中检测进入心脏的胸内电流的比例

A. deJongh, F. Claydon, D. Mirvis
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引用次数: 5

摘要

本研究的目的是计算经胸除颤过程中进入心脏的电流量,利用生理上真实的胸腔体积导体模型来模拟除颤场。利用完整的人体几何和边界积分方程建立了体积导体模型。该模型根据除颤冲击强度、除颤电极位置和胸腔内部的相对电导率计算胸内电流和经心电流的总量。使用非均匀躯干和矩形除颤电极进行了模拟,其表面积为60 cm/sup /,宽高比为2:1。前后、心前和左右除颤电极配置的结果显示,经心电流分别为22%、18%和11%。
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Examining the fraction of intrathoracic current that enters the heart during transthoracic defibrillation of the human torso
The objective of this study is to compute the amount of current entering the heart during transthoracic defibrillation by utilizing a physiologically realistic volume conductor model of the thorax which simulates defibrillation fields. The volume conductor model is constructed from intact human geometry and boundary integral equations. The model computes the total amount of intrathoracic current and transcardiac current from a knowledge of defibrillation shock strength, defibrillation electrode location, and the relative conductivities of the interior thorax. Simulations have been performed using an inhomogeneous torso and rectangular defibrillation electrodes with a surface area of 60 cm/sup 2/ and an aspect ratio of 2:1. Results for anterior posterior, precordial, and right-left defibrillation electrode configurations indicate that the transcardiac current fraction is 22%, 18%, and 11%, respectively.<>
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