论文标题

整合心脏电生理学,力学和流体动力学的数学模型:应用于人左心

A mathematical model that integrates cardiac electrophysiology, mechanics and fluid dynamics: application to the human left heart

论文作者

Bucelli, Michele, Zingaro, Alberto, Africa, Pasquale Claudio, Fumagalli, Ivan, Dede', Luca, Quarteroni, Alfio

论文摘要

我们提出了一种数学和数值模型,以模拟心脏功能,该模型将心脏生理学,主动和被动力学和血液动力学融合,并包括减少心脏瓣膜和循环系统的模型。我们的模型解释了表征心脏功能的不同过程之间的主要反馈效应,包括电力和机械电机反馈以及力 - 应变和力 - 效率关系。此外,它提供了心脏肌肉和血液动力学的三维表示,并在流体结构相互作用(FSI)模型中耦合。通过利用问题的多物理性质,我们通过隔离的电生理形成生成FSI方法将其离散,从而允许数值溶液中的效率和灵活性。我们采用了一种整体方法来对FSI问题的数值离散化。我们使用有限元来进行有助于该模型的偏微分方程的空间离散化。我们对现实的人类左心模型进行数值模拟,从定性和定量上获得与生理范围和医学图像一致的结果。

We propose a mathematical and numerical model for the simulation of the heart function that couples cardiac electrophysiology, active and passive mechanics and hemodynamics, and includes reduced models for cardiac valves and the circulatory system. Our model accounts for the major feedback effects among the different processes that characterize the heart function, including electro-mechanical and mechano-electrical feedback as well as force-strain and force-velocity relationships. Moreover, it provides a three-dimensional representation of both the cardiac muscle and the hemodynamics, coupled in a fluid-structure interaction (FSI) model. By leveraging the multiphysics nature of the problem, we discretize it in time with a segregated electrophysiology-force generation-FSI approach, allowing for efficiency and flexibility in the numerical solution. We employ a monolithic approach for the numerical discretization of the FSI problem. We use finite elements for the spatial discretization of those partial differential equations that contribute to the model. We carry out a numerical simulation on a realistic human left heart model, obtaining results that are qualitatively and quantitatively in agreement with physiological ranges and medical images.

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