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一种用于减轻左心室负荷的仿生方法。

A bio-inspired approach for the reduction of left ventricular workload.

作者信息

Pahlevan Niema M, Gharib Morteza

机构信息

Medical Engineering, Division of Engineering & Applied Sciences, California Institute of Technology, Pasadena, California, United States of America.

Graduate Aerospace Laboratories, Division of Engineering & Applied Sciences, California Institute of Technology, Pasadena, California, United States of America.

出版信息

PLoS One. 2014 Jan 24;9(1):e87122. doi: 10.1371/journal.pone.0087122. eCollection 2014.

Abstract

Previous studies have demonstrated the existence of optimization criteria in the design and development of mammalians cardiovascular systems. Similarities in mammalian arterial wave reflection suggest there are certain design criteria for the optimization of arterial wave dynamics. Inspired by these natural optimization criteria, we investigated the feasibility of optimizing the aortic waves by modifying wave reflection sites. A hydraulic model that has physical and dynamical properties similar to a human aorta and left ventricle was used for a series of in-vitro experiments. The results indicate that placing an artificial reflection site (a ring) at a specific location along the aorta may create a constructive wave dynamic that could reduce LV pulsatile workload. This simple bio-inspired approach may have important implications for the future of treatment strategies for diseased aorta.

摘要

先前的研究已经证明在哺乳动物心血管系统的设计和开发中存在优化标准。哺乳动物动脉波反射的相似性表明存在某些用于优化动脉波动动力学的设计标准。受这些自然优化标准的启发,我们研究了通过改变波反射部位来优化主动脉波的可行性。使用一个具有与人体主动脉和左心室相似的物理和动力学特性的水力模型进行了一系列体外实验。结果表明,在主动脉沿线的特定位置放置一个人工反射部位(一个环)可能会产生一种建设性的波动动力学,从而可以减轻左心室的搏动负荷。这种简单的仿生方法可能对患病主动脉治疗策略的未来具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7abc/3901771/4821b04157c9/pone.0087122.g001.jpg

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