Estimation of Emax of Assisted Hearts using Single Beat Estimation Method

Telma Keiko Sugai, A. Tanaka, M. Yoshizawa, Y. Shiraishi, S. Nitta, T. Yambe, A. Baba

研究成果: Conference contribution

抄録

In many countries, cardiovascular diseases are the main cause of death. Since the whole blood circulation depends on the heart, it cannot rest in order to recover as most of other muscles can. In some patients with not so severe damages in the myocardium, a rotary blood pump (RBP) may temporarily unload the native heart and can permit the recovery of the cardiac function. Since both implantation and withdrawal of the RBP are invasive procedures, the recovery should be detected with accuracy before weaning of the RBP. Therefore, the objective of this study is to estimate the cardiac function of assisted hearts using the maximum ventricular elastance Emax which is a cardiac function index representing the left ventricle contractility. Conventionally, the index Emax has been estimated using left ventricle pressure (LVP) and volume (LVV) during multiple cardiac cycles and under different loads. The two main problems of this method are that a precise measurement of LVV is invasive, and that induced changes in load should be avoided in cardiac patients. The single beat methods have the advantage that can be used with no changes on left ventricle load. In particular, the parameter optimization method (POM) permits Emax also to be calculated also using flow instead of volume in the case of non-assisted hearts. The conventional estimation of Emax and also the estimation using the POM with LVP and LVV had already been validated under the assistance of the RBP. This study shows that, in particular in cases with non-opening of the aortic valve, Emax can also be estimated by the POM using pump flow instead of LVV.

本文言語English
ホスト出版物のタイトル13th International Conference on Biomedical Engineering - ICBME 2008
ページ2177-2180
ページ数4
DOI
出版ステータスPublished - 2009
イベント13th International Conference on Biomedical Engineering, ICBME 2008 - , Singapore
継続期間: 2008 12 32008 12 6

出版物シリーズ

名前IFMBE Proceedings
23
ISSN(印刷版)1680-0737

Other

Other13th International Conference on Biomedical Engineering, ICBME 2008
国/地域Singapore
Period08/12/308/12/6

ASJC Scopus subject areas

  • バイオエンジニアリング
  • 生体医工学

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