Pluijmert Marieke, Lumens Joost, Potse Mark, Delhaas Tammo, Auricchio Angelo, Prinzen Frits W
Department of Biomedical Engineering, Cardiovascular Research Institute, Maastricht, The Netherlands;
Centre for Computational Medicine in Cardiology, Universita della Svizzera Intaliana, Lugano, Switzerland;
Arrhythm Electrophysiol Rev. 2015 May;4(1):62-7. doi: 10.15420/aer.2015.4.1.62. Epub 2015 Mar 10.
Mathematical or computer models have become increasingly popular in biomedical science. Although they are a simplification of reality, computer models are able to link a multitude of processes to each other. In the fields of cardiac physiology and cardiology, models can be used to describe the combined activity of all ion channels (electrical models) or contraction-related processes (mechanical models) in potentially millions of cardiac cells. Electromechanical models go one step further by coupling electrical and mechanical processes and incorporating mechano-electrical feedback. The field of cardiac computer modelling is making rapid progress due to advances in research and the ever-increasing calculation power of computers. Computer models have helped to provide better understanding of disease mechanisms and treatment. The ultimate goal will be to create patient-specific models using diagnostic measurements from the individual patient. This paper gives a brief overview of computer models in the field of cardiology and mentions some scientific achievements and clinical applications, especially in relation to cardiac resynchronisation therapy (CRT).
数学或计算机模型在生物医学科学中越来越受欢迎。尽管它们是对现实的简化,但计算机模型能够将众多过程相互联系起来。在心脏生理学和心脏病学领域,模型可用于描述潜在数百万个心脏细胞中所有离子通道的联合活动(电模型)或与收缩相关的过程(机械模型)。机电模型通过耦合电过程和机械过程并纳入机械电反馈更进一步。由于研究的进展和计算机计算能力的不断提高,心脏计算机建模领域正在迅速发展。计算机模型有助于更好地理解疾病机制和治疗方法。最终目标将是利用个体患者的诊断测量创建患者特异性模型。本文简要概述了心脏病学领域的计算机模型,并提及了一些科学成就和临床应用,特别是与心脏再同步治疗(CRT)相关的内容。