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Modeling and simulation of hypothermia effects on cardiac electrical dynamics

机译:体温过低对心脏电动力学影响的建模和仿真

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摘要

Previous experimental evidence has shown the effect of temperature on the action potential duration (APD). It has also been demonstrated that regional cooling of the heart can prolong the APD and promote the termination of ventricular tachycardia. The aim of this study is to demonstrate the effect of hypothermia in suppressing cardiac arrhythmias using numerical modeling. For this purpose, we developed a mathematical model that couples Pennes’ bioheat equation and the bidomain model to simulate the effect of heat on the cardiac action potential. The simplification of the proposed heat–bidomain model to the heat–monodomain model is provided. A suitable numerical scheme for this coupling, based on a time adaptive mesh finite element method, is also presented. First, we performed two-dimensional numerical simulations to study the effect of heat on a regular electrophysiological wave, with the comparison of the calculated and experimental values of Q10. Then, we demonstrated the effect of global hypothermia in suppressing single and multiple spiral waves.
机译:先前的实验证据表明温度对动作电位持续时间(APD)的影响。还已经证明,心脏的局部降温可以延长APD并促进心室心动过速的终止。这项研究的目的是通过数值模型证明体温过低在抑制心律不齐中的作用。为此,我们开发了一个数学模型,该模型将Pennes的生物热方程式和双域模型耦合在一起,以模拟热量对心脏动作电位的影响。提供了将建议的热-双畴模型简化为热-单畴模型的方法。还提出了一种基于时间自适应网格有限元方法的适用于该耦合的数值方案。首先,我们进行了二维数值模拟,以研究热量对规则电生理波的影响,并比较了Q10的计算值和实验值。然后,我们证明了整体低温治疗在抑制单个和多个螺旋波中的作用。

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