Mechanical perturbation control of cardiac alternans

Cardiac alternans is a disturbance in heart rhythm that is linked to the onset of lethal cardiac arrhythmias. Mechanical perturbation control has been recently used to suppress alternans in cardiac tissue of relevant size. In this control strategy, cardiac tissue mechanics are perturbed via active t...

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Main Author: Hazim, Azzam (author)
Other Authors: Belhamadia, Youssef (author), Dubljevic, Stevan (author)
Format: article
Published: 2018
Online Access:http://hdl.handle.net/11073/16638
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_version_ 1864513440720093184
author Hazim, Azzam
author2 Belhamadia, Youssef
Dubljevic, Stevan
author2_role author
author
author_facet Hazim, Azzam
Belhamadia, Youssef
Dubljevic, Stevan
author_role author
dc.creator.none.fl_str_mv Hazim, Azzam
Belhamadia, Youssef
Dubljevic, Stevan
dc.date.none.fl_str_mv 2018
2020-02-27T07:31:34Z
2020-02-27T07:31:34Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv 2470-0053
http://hdl.handle.net/11073/16638
10.1103/PhysRevE.97.052407
dc.language.none.fl_str_mv en_US
dc.publisher.none.fl_str_mv American Physical Society
dc.relation.none.fl_str_mv https://doi.org/10.1103/PhysRevE.97.052407
dc.title.none.fl_str_mv Mechanical perturbation control of cardiac alternans
dc.type.none.fl_str_mv Peer-Reviewed
Published version
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Cardiac alternans is a disturbance in heart rhythm that is linked to the onset of lethal cardiac arrhythmias. Mechanical perturbation control has been recently used to suppress alternans in cardiac tissue of relevant size. In this control strategy, cardiac tissue mechanics are perturbed via active tension generated by the heart’s electrical activity, which alters the tissue’s electric wave profile through mechanoelectric coupling. We analyze the effects of mechanical perturbation on the dynamics of amap model that couples themembrane voltage and active tension systems at the cellular level. Therefore, a two-dimensional iterative map of the heart beat-to-beat dynamics is introduced, and a stability analysis of the system of coupled maps is performed in the presence of a mechanical perturbation algorithm. To this end, a bidirectional coupling between the membrane voltage and active tension systems in a single cardiac cell is provided, and a discrete form of the proposed control algorithm, that can be incorporated in the coupled maps, is derived. In addition, a realistic electromechanical model of cardiac tissue is employed to explore the feasibility of suppressing alternans at cellular and tissue levels. Electrical activity is represented in two detailed ionic models, the Luo-Rudy 1 and the Fox models, while two active contractile tension models, namely a smooth variant of the Nash-Panfilov model and the Niederer-Hunter-Smith model, are used to represent mechanical activity in the heart. The Mooney-Rivlin passive elasticity model is employed to describe passive mechanical behavior of the myocardium.
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publisher.none.fl_str_mv American Physical Society
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spelling Mechanical perturbation control of cardiac alternansHazim, AzzamBelhamadia, YoussefDubljevic, StevanCardiac alternans is a disturbance in heart rhythm that is linked to the onset of lethal cardiac arrhythmias. Mechanical perturbation control has been recently used to suppress alternans in cardiac tissue of relevant size. In this control strategy, cardiac tissue mechanics are perturbed via active tension generated by the heart’s electrical activity, which alters the tissue’s electric wave profile through mechanoelectric coupling. We analyze the effects of mechanical perturbation on the dynamics of amap model that couples themembrane voltage and active tension systems at the cellular level. Therefore, a two-dimensional iterative map of the heart beat-to-beat dynamics is introduced, and a stability analysis of the system of coupled maps is performed in the presence of a mechanical perturbation algorithm. To this end, a bidirectional coupling between the membrane voltage and active tension systems in a single cardiac cell is provided, and a discrete form of the proposed control algorithm, that can be incorporated in the coupled maps, is derived. In addition, a realistic electromechanical model of cardiac tissue is employed to explore the feasibility of suppressing alternans at cellular and tissue levels. Electrical activity is represented in two detailed ionic models, the Luo-Rudy 1 and the Fox models, while two active contractile tension models, namely a smooth variant of the Nash-Panfilov model and the Niederer-Hunter-Smith model, are used to represent mechanical activity in the heart. The Mooney-Rivlin passive elasticity model is employed to describe passive mechanical behavior of the myocardium.American Physical Society2020-02-27T07:31:34Z2020-02-27T07:31:34Z2018Peer-ReviewedPublished versioninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdf2470-0053http://hdl.handle.net/11073/1663810.1103/PhysRevE.97.052407en_UShttps://doi.org/10.1103/PhysRevE.97.052407oai:repository.aus.edu:11073/166382024-08-22T12:01:42Z
spellingShingle Mechanical perturbation control of cardiac alternans
Hazim, Azzam
status_str publishedVersion
title Mechanical perturbation control of cardiac alternans
title_full Mechanical perturbation control of cardiac alternans
title_fullStr Mechanical perturbation control of cardiac alternans
title_full_unstemmed Mechanical perturbation control of cardiac alternans
title_short Mechanical perturbation control of cardiac alternans
title_sort Mechanical perturbation control of cardiac alternans
url http://hdl.handle.net/11073/16638