Research of heart failure based on heart model and S1 complexity

Yu-Han Cheng, Chen-Xi Wang, Min Wei, Yun-yi Li, Xie-Feng Cheng
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Abstract

To study the internal and external characteristics of heart failure, a lumped-parameter cardiovascular simulation model is designed to analyze the internal characteristics, and a method is proposed that uses the complexity of the first heart sound (S1) amplitude sequence to analyze the external characteristics. State variable method is used to establish the mathematical expression of the cardiovascular model which includes three sub-models: systemic circulation sub-model, pulmonary circulation sub-model and heart sub-model. Based on this model the heart physiological feature is studied, especially under heart failure. Then, the complexity of S1 amplitude sequence is analyzed based on multiscale base-scale entropy algorithm. Simulation experiment shows that, one of the internal characteristics of heart failure is the reduction of myocardial elasticity coefficient, and one of the external characteristics is the reduction of the complexity of S1 amplitude sequence. Simulation result being in accord with clinical data indicates that the proposed approach has feasibility and practicability in heart failure diagnosis.
基于心脏模型和S1复杂度的心力衰竭研究
为了研究心衰的内部和外部特征,设计了集总参数心血管仿真模型来分析心衰的内部特征,并提出了一种利用第一心音(S1)振幅序列的复杂性来分析心衰外部特征的方法。采用状态变量法建立了心血管模型的数学表达式,该模型包括三个子模型:体循环子模型、肺循环子模型和心脏子模型。在此基础上研究了心脏的生理特征,特别是在心力衰竭的情况下。然后,基于多尺度基尺度熵算法分析了S1幅值序列的复杂度。仿真实验表明,心衰的内部特征之一是心肌弹性系数的降低,外部特征之一是S1振幅序列复杂度的降低。仿真结果与临床数据吻合,表明该方法在心衰诊断中具有可行性和实用性。
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