An Electromechanical Left Ventricular Wedge Model to Study the Effects of Deformation on Repolarization during Heart Failure.

Heart failure is a major and costly problem in public health, which, in certain cases, may lead to death. The failing heart undergo a series of electrical and structural changes that provide the underlying basis for disturbances like arrhythmias. Computer models of coupled electrical and mechanical...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 13
Autores principales: Rocha, B. M., Toledo, E. M., Barra, L. P. S., dos Santos, R. Weber
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell 10/15/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 10/15/2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2015/465014
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        atl: An Electromechanical Left Ventricular Wedge Model to Study the Effects of Deformation on Repolarization during Heart Failure.
      aug:
        au:
          Rocha, B. M.
          Toledo, E. M.
          Barra, L. P. S.
          dos Santos, R. Weber
        affil: Graduate Program on Computational Modeling, Federal University of Juiz de Fora, 36036-900 Juiz de Fora, MG, Brazil
      sug:
        subj:
          Heart Failure Physiopathology
          Heart Ventricle, Left
          Biomechanics
          Electrophysiology
          Computer Simulation
          Heart Conduction System
          Heart Physiology
          Descriptive Statistics
      ab: Heart failure is a major and costly problem in public health, which, in certain cases, may lead to death. The failing heart undergo a series of electrical and structural changes that provide the underlying basis for disturbances like arrhythmias. Computer models of coupled electrical and mechanical activities of the heart can be used to advance our understanding of the complex feedback mechanisms involved. In this context, there is a lack of studies that consider heart failure remodeling using strongly coupled electromechanics. We present a strongly coupled electromechanical model to study the effects of deformation on a human left ventricle wedge considering normal and hypertrophic heart failure conditions. We demonstrate through a series of simulations that when a strongly coupled electromechanical model is used, deformation results in the thickening of the ventricular wall that in turn increases transmural dispersion of repolarization. These effects were analyzed in both normal and failing heart conditions. We also present transmural electrograms obtained from these simulations. Our results suggest that the waveform of electrograms, particularly the T-wave, is influenced by cardiac contraction on both normal and pathological conditions.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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