心电激励下的人体左心室力学响应分析

人体心脏通过电兴奋引起的心肌收缩实现泵血功能 ,而心肌的力学特性高度依赖于肌纤维结构。本文根据肌纤维旋向和复合材料理论以及电生理心脏模型建立了左心室的有限元机械模型 ,仿真研究了左心室在心电兴奋力作用下的力学响应。结果表明左心室的收缩过程是十分复杂的 ,包括轴向和径向的收缩及绕长轴的不同程度的旋转扭曲。从总体趋势上看 ,心尖处变形最为严重。此外 ,仿真结果还表明 ,心壁应力分布不均匀 ,从内壁到外壁有所减少 ;在心尖和心底部应力较大 ,其中内壁心尖处应力最大。这些结果说明了心脏的力学特性与心肌纤维结构、左心室的几何形状以及电兴奋刺激密切相关。作者将本文的仿真结果与医学图像及其它模型进行了对比分析 ,结果表明了该模型用于分析心肌力学功能特性的可行性     

A new magneto-cardiogram study using a vector model with a virtual heart and the boundary element method

A cardiac vector model is presented and verified, and then the forward problem for cardiac magnetic fields and electric potential are discussed based on this model and the realistic human torso volume conductor model, including lungs. A torso-cardiac vector model is used for a 12-lead electrocardiographic (ECG) and magneto-cardiogram (MCG) simulation study by using the boundary element method (BEM). Also, we obtain the MCG wave picture using a compound four-channel HTc ·SQUID system in a magnetically shielded room. By comparing the simulated results and experimental results, we verify the cardiac vector model and then do a preliminary study of the forward problem of MCG and ECG. Therefore, the results show that the vector model is reasonable in cardiac electrophysiology.     

Simulation study of a magnetocardiogram based on a virtual heart model: effect of a cardiac equivalent source and a volume conductor

In this paper,we present a magnetocardiogram(MCG) simulation study using the boundary element method(BEM) and based on the virtual heart model and the realistic human volume conductor model.The different contributions of cardiac equivalent source models and volume conductor models to the MCG are deeply and comprehensively investigated.The single dipole source model,the multiple dipoles source model and the equivalent double layer(EDL) source model are analysed and compared with the cardiac equivalent source models.Meanwhile,the effect of the volume conductor model on the MCG combined with these cardiac equivalent sources is investigated.The simulation results demonstrate that the cardiac electrophysiological information will be partly missed when only the single dipole source is taken,while the EDL source is a good option for MCG simulation and the effect of the volume conductor is smallest for the EDL source.Therefore,the EDL source is suitable for the study of MCG forward and inverse problems,and more attention should be paid to it in future MCG studies.