基于模型的梗死定位方法

D. Farina, O. Dossel
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引用次数: 24

摘要

提出了一种基于模型的无创方法来确定梗死疤痕的位置和大小,此外还有助于估计心律失常的风险。该方法是基于电生理心脏模型的优化,引入梗死疤痕,以适应在患者胸腔表面测量的多通道心电图。该模型提供了单个心脏周期内心室内跨膜电压(TMV)的分布。为了得到病人的模拟心电图,解决了心电图的正演问题。将该心电图与实测值进行比较,差异作为优化模型参数的标准,包括梗死疤痕的部位和大小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Model-based approach to the localization of infarction
A model-based approach to noninvasively determine the location and size of the infarction scar is proposed, that in addition helps to estimate the risk of arrhythmias. The approach is based on the optimization of an electrophysiological heart model with an introduced infarction scar to fit the multichannel ECG measured on the surface of the patient's thorax. This model delivers the distributions of transmembrane voltages (TMV) within the ventricles during a single heart cycle. The forward problem of electrocardiography is solved in order to obtain the simulated ECG of the patient. This ECG is compared with the measured one, the difference is used as the criterion for optimization of model parameters, which include the site and size of infarction scar.
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