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用简单的平面二尖瓣模型复制左心室血液动力学。

Replication of left ventricular haemodynamics with a simple planar mitral valve model.

机构信息

Institute of Fluid Mechanics, Karlsruhe Institute of Technology, Karlsruhe, Germany.

出版信息

Biomed Tech (Berl). 2020 Oct 25;65(5):595-603. doi: 10.1515/bmt-2019-0175.

DOI:10.1515/bmt-2019-0175
PMID:32598293
Abstract

Tools for the numerical prediction of haemodynamics in multi-disciplinary integrated heart simulations have to be based on computational models that can be solved with low computational effort and still provide physiological flow characteristics. In this context the mitral valve model is important since it strongly influences the flow kinematics, especially during the diastolic phase. In contrast to a 3D valve, a vastly simplified valve model in form of a simple diode is known to be unable to reproduce the characteristic vortex formation and unable to promote a proper ventricular washout. In the present study, an adaptation of the widely used simplest modelling approach for the mitral valve is employed and compared to a physiologically inspired 3D valve within the same ventricular geometry. The adapted approach shows enhanced vortex formation and an improved ventricular washout in comparison to the diode type model. It further shows a high potential in reproducing the main flow characteristics and related particle residence times generated by a 3D valve.

摘要

用于多学科综合心脏模拟中血液动力学数值预测的工具必须基于能够以低计算成本解决的计算模型,并且仍然能够提供生理流动特性。在这方面,二尖瓣模型很重要,因为它强烈影响流动运动学,特别是在舒张期。与 3D 瓣膜相比,众所周知,简化形式的简单二极管瓣膜模型无法再现特征性的涡旋形成,也无法促进适当的心室冲洗。在本研究中,采用了广泛使用的二尖瓣最简单建模方法的一种改编,并与相同心室几何形状内的生理启发 3D 瓣膜进行了比较。与二极管模型相比,改编后的方法显示出增强的涡旋形成和改善的心室冲洗。它还显示出在再现由 3D 瓣膜产生的主流特性和相关粒子停留时间方面具有很高的潜力。

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Front Cardiovasc Med. 2022 Jul 5;9:901902. doi: 10.3389/fcvm.2022.901902. eCollection 2022.
2
Clinical Impact of Computational Heart Valve Models.计算心脏瓣膜模型的临床影响
Materials (Basel). 2022 May 5;15(9):3302. doi: 10.3390/ma15093302.
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CT-Based Simulation of Left Ventricular Hemodynamics: A Pilot Study in Mitral Regurgitation and Left Ventricle Aneurysm Patients.
基于CT的左心室血流动力学模拟:二尖瓣反流和左心室动脉瘤患者的初步研究。
Front Cardiovasc Med. 2022 Mar 22;9:828556. doi: 10.3389/fcvm.2022.828556. eCollection 2022.
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Global Sensitivity Analysis of Four Chamber Heart Hemodynamics Using Surrogate Models.基于代理模型的四腔心心脏血液动力学全局敏感性分析。
IEEE Trans Biomed Eng. 2022 Oct;69(10):3216-3223. doi: 10.1109/TBME.2022.3163428. Epub 2022 Sep 19.
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Sequential Coupling Shows Minor Effects of Fluid Dynamics on Myocardial Deformation in a Realistic Whole-Heart Model.在真实的全心脏模型中,顺序耦合显示流体动力学对心肌变形的影响较小。
Front Cardiovasc Med. 2021 Dec 23;8:768548. doi: 10.3389/fcvm.2021.768548. eCollection 2021.