Study of ventricular interaction during pulmonary embolism using clinical identification in a minimum cardiovascular system model

Type of content
Conference Contributions - Published
Thesis discipline
Degree name
Publisher
University of Canterbury. Mechanical Engineering.
Journal Title
Journal ISSN
Volume Title
Language
Date
2007
Authors
Desaive, T.
Ghuysen, A.
Kolh, P.
Dauby, P.C.
Starfinger, C.
Hann, C.E.
Chase, Geoff
Shaw, Geoff
Abstract

Cardiovascular disturbances are difficult to diagnose and treat because of the large range of possible underlying dysfunctions combined with regulatory reflex mechanisms that can result in conflicting clinical data. Thus, medical professionals often rely on experience and intuition to optimize hemodynamics in the critically ill. This paper combines an existing minimal cardiovascular system model with an extended integral based parameter identification method to track the evolution of induced pulmonary embolism in porcine data. The model accounts for ventricular interaction dynamics and is shown to predict an increase in the right ventricle expansion index and a decrease in septum volume consistent with known physiological response to pulmonary embolism. The full range of hemodynamic responses was captured with mean prediction errors of 4.1% in the pressures and 3.1% in the volumes for 6 sets of clinical data. Pulmonary resistance increased significantly with the onset of embolism in all cases, as expected, with the percentage increase ranging from 89.98% to 261.44% of the initial state. These results are an important first step towards model-based cardiac diagnosis in the Intensive Care Unit.

Description
Citation
Desaive, T., Ghuysen, A., Lambermont, B., Kolh, P., Dauby, P.C., Starfinger, C., Hann, C.E., Chase, J.G., Shaw, G.M. (2007) Study of ventricular interaction during pulmonary embolism using clinical identification in a minimum cardiovascular system model. Lyon, France: 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC 2007), 23-26 Aug 2007. Proceedings of the 29th Annual International Conference of the IEEE EMBS, 2976-2979.
Keywords
Ngā upoko tukutuku/Māori subject headings
ANZSRC fields of research
Rights
©2007 IEEE. Personal use of this material is permitted. However, permission to reprint/republish this material for advertising or promotional purposes or for creating new collective works for resale or redistribution to servers or lists, or to reuse any copyrighted component of this work in other works must be obtained from the IEEE.