1. Mechanism-Driven Modeling to Aid Non-invasive Monitoring of Cardiac Function via Ballistocardiography
- Author
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Mohamed Zaid, Lorenzo Sala, Jan R. Ivey, Darla L. Tharp, Christina M. Mueller, Pamela K. Thorne, Shannon C. Kelly, Kleiton Augusto Santos Silva, Amira R. Amin, Pilar Ruiz-Lozano, Michael S. Kapiloff, Laurel Despins, Mihail Popescu, James Keller, Marjorie Skubic, Salman Ahmad, Craig A. Emter, Giovanna Guidoboni, University of Missouri [Columbia] (Mizzou), University of Missouri System, SImulations en Médecine, BIOtechnologie et ToXicologie de systèmes multicellulaires (SIMBIOTX ), Inria Saclay - Ile de France, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria), Cooper Medical School of Rowan University [Camden] (CMSRU), and Stanford University
- Subjects
myocardial infarction ,[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system ,non-invasive monitoring ,[MATH.MATH-DS]Mathematics [math]/Dynamical Systems [math.DS] ,Medical technology ,mathematical modeling ,ballistocardiography ,ventricular contractility ,R855-855.5 ,cardiac function ,[SPI.SIGNAL]Engineering Sciences [physics]/Signal and Image processing - Abstract
International audience; Left ventricular (LV) catheterization provides LV pressure-volume (P-V) loops and it represents the gold standard for cardiac function monitoring. This technique, however, is invasive and this limits its applicability in clinical and in-home settings. Ballistocardiography (BCG) is a good candidate for non-invasive cardiac monitoring, as it is based on capturing non-invasively the body motion that results from the blood flowing through the cardiovascular system. This work aims at building a mechanistic connection between changes in the BCG signal, changes in the P-V loops and changes in cardiac function. A mechanism-driven model based on cardiovascular physiology has been used as a virtual laboratory to predict how changes in cardiac function will manifest in the BCG waveform. Specifically, model simulations indicate that a decline in LV contractility results in an increase of the relative timing between the ECG and BCG signal and a decrease in BCG amplitude. The predicted changes have subsequently been observed in measurements on three swine serving as pre-clinical models for pre- and post-myocardial infarction conditions. The reproducibility of BCG measurements has been assessed on repeated, consecutive sessions of data acquisitions on three additional swine. Overall, this study provides experimental evidence supporting the utilization of mechanism-driven mathematical modeling as a guide to interpret changes in the BCG signal on the basis of cardiovascular physiology, thereby advancing the BCG technique as an effective method for non-invasive monitoring of cardiac function.
- Published
- 2022
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