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心房颤动期间心脏瓣膜的流体动力学:一种基于集总参数的方法。

Fluid dynamics of heart valves during atrial fibrillation: a lumped parameter-based approach.

作者信息

Scarsoglio S, Camporeale C, Guala A, Ridolfi L

机构信息

a Department of Mechanical and Aerospace Engineering , Politecnico di Torino , Torino , Italy .

b Department of Environment, Land and Infrastructure Engineering , Politecnico di Torino , Italy .

出版信息

Comput Methods Biomech Biomed Engin. 2016;19(10):1060-8. doi: 10.1080/10255842.2015.1094800. Epub 2015 Oct 13.

Abstract

Atrial fibrillation (AF) consequences on the heart valve dynamics are usually studied along with a valvular disfunction or disease, since in medical monitoring, the two pathologies are often concomitant. Aim of the present work is to study, through a stochastic lumped-parameter approach, the basic fluid dynamics variations of heart valves, when only paroxysmal AF is present with respect to the normal sinus rhythm in absence of any valvular pathology. Among the most common parameters interpreting the valvular function, the most useful turns out to be the regurgitant volume. During AF, both atrial valves do not seem to worsen their performance, while the ventricular efficiency is remarkably reduced.

摘要

心房颤动(AF)对心脏瓣膜动力学的影响通常是在存在瓣膜功能障碍或疾病的情况下进行研究的,因为在医学监测中,这两种病理情况常常同时出现。本研究的目的是通过一种随机集总参数方法,研究在没有任何瓣膜病变的情况下,仅存在阵发性房颤相对于正常窦性心律时心脏瓣膜的基本流体动力学变化。在解释瓣膜功能的最常见参数中,最有用的似乎是反流容积。在房颤期间,两个心房瓣膜的性能似乎并未恶化,而心室效率则显著降低。

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