IDENTIFICATION OF TIME VARYING CARDIAC DISEASE STATE USING A MINIMAL CARDIAC MODEL WITH REFLEX ACTIONS.

Abstract A minimal cardiac model that accurately captures the essential cardiovascular system dynamics has been developed. Standard parameter identification methods for this model are highly non-linear and non-convex, hindering clinical application, given the limited measurements available in an intensive care unit. This paper presents an integral based identification method that transforms the problem into a linear, convex problem. Five common disease states including four fundamental types of shock, are identified to within 10% without false identification. Clinically, it enables medical staff to rapidly obtain a patient specific model to assist in diagnosis and therapy selection.

[1]  著者なし Heart Disease : A Textbook of Cardiovascular Medicine, 5th Ed. , 1997 .

[2]  S. Silbernagl,et al.  Color atlas of physiology , 1981 .

[3]  E. Braunwald Heart Disease: A Textbook of Cardiovascular Medicine , 1992, Annals of Internal Medicine.

[4]  Claudio Cobelli,et al.  Modelling metholodology for physiology and medicine , 2001 .

[5]  C. Hann,et al.  Identification of patient specific parameters for a minimal cardiac model , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[6]  J. Parrillo,et al.  Cardiogenic shock. , 1999, Annals of internal medicine.

[7]  D. Burkhoff,et al.  Why does pulmonary venous pressure rise after onset of LV dysfunction: a theoretical analysis. , 1993, The American journal of physiology.

[8]  Christopher E. Hann,et al.  Integral-based parameter identification for long-term dynamic verification of a glucose-insulin system model , 2005, Comput. Methods Programs Biomed..

[9]  Joseph E. Parrillo,et al.  Critical Care Medicine: Principles of Diagnosis and Management , 1995 .

[10]  J Geoffrey Chase,et al.  Minimal haemodynamic system model including ventricular interaction and valve dynamics. , 2004, Medical engineering & physics.

[11]  Bram W. Smith,et al.  Minimal haemodynamic modelling of the heart & circulation for clinical application. , 2004 .

[12]  Christopher E. Hann,et al.  Efficient implementation of non-linear valve law and ventricular interaction dynamics in the minimal cardiac model , 2005, Comput. Methods Programs Biomed..