A numerical model of the circulatory system for heart assistance simulations: effect of a LVAD on energetic relationships inside the left ventricle

Author

Ferrari, G. ; De Lazzari, C. ; Mimmo, R. ; Mercogliano, D. ; Tosti, G. ; Ambrosi, D. ; Maugeri, B. ; Marino, B.

Author_Institution

CNR, Rome, Italy

fYear

1993

fDate

5-8 Sep 1993

Firstpage

683

Lastpage

686

Abstract

A modular numerical model is used to study the interaction, in terms of energetic relationships, between the cardiovascular system and a pneumatic left ventricle assist device (LVAD). The experiments are performed in two steps: in the first the left ventricle is characterized, with an open loop model of the circulatory system, computing external work (EW), pressure volume area (PVA) and cardiac mechanical efficiency (CME) as a function of atrial pressure and peripheral resistance. PVA is compared to EW and CME surfaces respectively. In the second step the same variables are evaluated, with a closed loop model, assisting synchronously the left ventricle with the LVAD and changing two of its control parameters: driving pressure (DP) and systole-diastole (SD) ratio. The path of the working point is related to the value of the arterial elastance, modified by the LVAD, and only in few points the target to minimize PVA and EW and maximize CME is reached

Keywords

artificial organs; cardiology; haemodynamics; physiological models; arterial elastance; atrial pressure; cardiac mechanical efficiency; cardiovascular system; circulatory system; closed loop model; control parameters; driving pressure; energetic relationships; external work; heart assistance simulations; left ventricle; numerical model; open loop model; peripheral resistance; pneumatic left ventricle assist device; pressure volume area; systole-diastole ratio; working point path; Cardiovascular system; Circulatory system; Computer peripherals; Heart; Immune system; Marine technology; Mechanical variables control; Numerical models; Pressure control; Surgery;

fLanguage

English

Publisher

ieee

Conference_Titel

Computers in Cardiology 1993, Proceedings.

Conference_Location

London

Print_ISBN

0-8186-5470-8

Type

conf

DOI

10.1109/CIC.1993.378310

Filename

378310