心室筋興奮到達時間の組織収縮力への影響: シミュレーションによる解析

書誌事項

タイトル別名
  • The Influence of Activation Time on the Contraction Force of Myocardial Tissue: a Simulation Study
  • シンシツキン コウフン トウタツ ジカン ノ ソシキ シュウシュクリョク エ ノ エイキョウ シミュレーション ニ ヨル カイセキ
公開日
2006
資源種別
journal article
DOI
  • 10.11239/jsmbe.44.170
公開者
公益社団法人 日本生体医工学会

この論文をさがす

説明

Due to the experimental limitations in studying human heart functions, the use of computer simulation is becoming more and more important. However, research on the contraction model of the ventricular cell and propagation model of the excitation wave have mainly been studied independently despite the fact that myocardial excitation—contraction coupling is fundamental to the heart function. In this article, an excitable contraction model of ventricular tissue cable is constructed to study the effect of different stimulating patterns on tissue contraction. The contraction force for each element is calculated based on an electro-physiological ventricular cell model (Kyoto Model). The mechanical deformation of tissue is solved using the finite element method. The electrophysiological calculation and mechanical calculations are coupled to obtain a simulation reflecting the force-length relation of the myocardial cell. Several factors such as the starting point and conduction velocity of stimulation signals affect contraction behavior. Here, we show that the activation time (AT), which is the time the stimulation signal needs to spread over the tissue, is a dominant indicator for determining the tissue contraction force. When AT decreases, the tissue contraction force increases monotonically. This fact suggests that the minimization of AT could be an important clue for achieving effective tissue contraction. Furthermore, the effect of increasing stimulating points has been analyzed. Simulation data suggests the importance of the number and position of pacing leads to improve the pump function of a failing heart in cardiac resynchronization therapy such as biventricular pacing.

収録刊行物

  • 生体医工学

    生体医工学 44 (1), 170-176, 2006

    公益社団法人 日本生体医工学会

被引用文献 (3)*注記

もっと見る

参考文献 (17)*注記

もっと見る

関連プロジェクト

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ