Time-variant left ventricle models for intracardiac impedance analysis

Cardiovascular diseases are a leading cause of mortality worldwide. Thus, critically ill patients require continuous monitoring of cardiovascular indicators, such as the left ventricular volume (LVV). Although continuous hemodynamic monitoring of patients is desirable, due to technical limitations,...

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Main Authors: Voss Daniel, Wemmer Clara, Leonhardt Steffen, Walter Marian
Format: Article
Language:English
Published: Sciendo 2024-10-01
Series:Journal of Electrical Bioimpedance
Subjects:
Online Access:https://doi.org/10.2478/joeb-2024-0015
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author Voss Daniel
Wemmer Clara
Leonhardt Steffen
Walter Marian
author_facet Voss Daniel
Wemmer Clara
Leonhardt Steffen
Walter Marian
author_sort Voss Daniel
collection DOAJ
description Cardiovascular diseases are a leading cause of mortality worldwide. Thus, critically ill patients require continuous monitoring of cardiovascular indicators, such as the left ventricular volume (LVV). Although continuous hemodynamic monitoring of patients is desirable, due to technical limitations, current measurement technologies either require manual intervention of the physician or only provide inaccurate results. Intracardiac impedance measurements are a promising approach for continuous assessment of cardiac function. However, developing and evaluating these methods requires a simulation model of the left ventricle with cardiac motion during an entire cardiac cycle. While many models exist for a fixed ventricle size, to date, no freely available models incorporate time and represent the cardiac motion during a complete cardiac cycle. Therefore, we developed four cardiacmechanical left ventricular models with varying ventricle sizes and complexities. Each model focuses on a different aspect of the geometric shape, thus allowing an isolated analysis of the different influences. This paper presents the development of the models and initial results of the impedance analysis. All measured admittances exhibit a high resemblance for all models and a strong, non-linear correlation with the LVV. A comparison between the models shows how the different geometries affect the impedance. The models, thus, provide a useful basis for the development of LVV estimation algorithms.
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spelling doaj-art-263e56c92a6e4be495fcf9ad65388e842025-01-20T11:09:56ZengSciendoJournal of Electrical Bioimpedance1891-54692024-10-0115113013610.2478/joeb-2024-0015Time-variant left ventricle models for intracardiac impedance analysisVoss Daniel0Wemmer Clara1Leonhardt Steffen2Walter Marian31Chair for Medical Information Technology, RWTH Aachen University, Aachen, Germany1Chair for Medical Information Technology, RWTH Aachen University, Aachen, Germany1Chair for Medical Information Technology, RWTH Aachen University, Aachen, Germany1Chair for Medical Information Technology, RWTH Aachen University, Aachen, GermanyCardiovascular diseases are a leading cause of mortality worldwide. Thus, critically ill patients require continuous monitoring of cardiovascular indicators, such as the left ventricular volume (LVV). Although continuous hemodynamic monitoring of patients is desirable, due to technical limitations, current measurement technologies either require manual intervention of the physician or only provide inaccurate results. Intracardiac impedance measurements are a promising approach for continuous assessment of cardiac function. However, developing and evaluating these methods requires a simulation model of the left ventricle with cardiac motion during an entire cardiac cycle. While many models exist for a fixed ventricle size, to date, no freely available models incorporate time and represent the cardiac motion during a complete cardiac cycle. Therefore, we developed four cardiacmechanical left ventricular models with varying ventricle sizes and complexities. Each model focuses on a different aspect of the geometric shape, thus allowing an isolated analysis of the different influences. This paper presents the development of the models and initial results of the impedance analysis. All measured admittances exhibit a high resemblance for all models and a strong, non-linear correlation with the LVV. A comparison between the models shows how the different geometries affect the impedance. The models, thus, provide a useful basis for the development of LVV estimation algorithms.https://doi.org/10.2478/joeb-2024-0015simulationfemheart geometryleft ventricular volumeintracardiac impedance
spellingShingle Voss Daniel
Wemmer Clara
Leonhardt Steffen
Walter Marian
Time-variant left ventricle models for intracardiac impedance analysis
Journal of Electrical Bioimpedance
simulation
fem
heart geometry
left ventricular volume
intracardiac impedance
title Time-variant left ventricle models for intracardiac impedance analysis
title_full Time-variant left ventricle models for intracardiac impedance analysis
title_fullStr Time-variant left ventricle models for intracardiac impedance analysis
title_full_unstemmed Time-variant left ventricle models for intracardiac impedance analysis
title_short Time-variant left ventricle models for intracardiac impedance analysis
title_sort time variant left ventricle models for intracardiac impedance analysis
topic simulation
fem
heart geometry
left ventricular volume
intracardiac impedance
url https://doi.org/10.2478/joeb-2024-0015
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AT leonhardtsteffen timevariantleftventriclemodelsforintracardiacimpedanceanalysis
AT waltermarian timevariantleftventriclemodelsforintracardiacimpedanceanalysis