Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov;2021:5642-5645. doi: 10.1109/EMBC46164.2021.9629603.
Left ventricular assist devices (LVADs) are mechanical pumps that help patients with chronic heart failure waiting for a heart transplant. Mathematical models of these devices can be used along cardiovascular system (CVS) models to evaluate the assistance performance under different operating modes. The estimation of the CVS model parameters for a particular patient and numerical simulations allow the implementation of adequate LVAD operation mode. This work presents a method to estimate the parameters of a CVS model using only one hemodynamic variable: the systemic arterial pressure (P). Synthetic signals of P are used to solve this ill-posed inverse problem partially, and the results show the high accuracy of the proposed method, which achieves 0.5%.Clinical relevance- The measurements of hemodynamic variables using noninvasive techniques avoid many clinical problems arising from invasive measures such as infections.
左心室辅助装置(LVAD)是一种机械泵,可帮助患有慢性心力衰竭等待心脏移植的患者。这些设备的数学模型可以与心血管系统(CVS)模型一起使用,以评估不同运行模式下的辅助性能。对特定患者的 CVS 模型参数进行估算,并进行数值模拟,可实现适当的 LVAD 运行模式。这项工作提出了一种仅使用一个血流动力学变量(即系统动脉压(P))来估算 CVS 模型参数的方法。使用 P 的合成信号部分解决了这个不适定的反问题,结果表明,所提出的方法具有很高的准确性,可达 0.5%。临床相关性- 使用非侵入性技术测量血流动力学变量可避免许多由侵入性措施引起的临床问题,如感染。