Control of cardiac alternans by mechanical and electrical feedback

A persistent alternation in the cardiac action potential duration has been linked to the onset of ventricular arrhythmia, which may lead to sudden cardiac death. A coupling between these cardiac alternans and the intracellular calcium dynamics has also been identified in previous studies. In this pa...

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Main Author: Yapari, Felicia (author)
Other Authors: Deshpande, Dipen (author), Belhamadia, Youssef (author), Dubljevic, Stevan (author)
Format: article
Published: 2014
Online Access:http://hdl.handle.net/11073/16637
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author Yapari, Felicia
author2 Deshpande, Dipen
Belhamadia, Youssef
Dubljevic, Stevan
author2_role author
author
author
author_facet Yapari, Felicia
Deshpande, Dipen
Belhamadia, Youssef
Dubljevic, Stevan
author_role author
dc.creator.none.fl_str_mv Yapari, Felicia
Deshpande, Dipen
Belhamadia, Youssef
Dubljevic, Stevan
dc.date.none.fl_str_mv 2014
2020-02-27T07:25:14Z
2020-02-27T07:25:14Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv 2470-0053
http://hdl.handle.net/11073/16637
10.1103/PhysRevE.90.012706
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.90.012706
dc.title.none.fl_str_mv Control of cardiac alternans by mechanical and electrical feedback
dc.type.none.fl_str_mv Peer-Reviewed
Published version
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description A persistent alternation in the cardiac action potential duration has been linked to the onset of ventricular arrhythmia, which may lead to sudden cardiac death. A coupling between these cardiac alternans and the intracellular calcium dynamics has also been identified in previous studies. In this paper, the system of PDEs describing the small amplitude of alternans and the alternation of peak intracellular Ca2+ are stabilized by optimal boundary and spatially distributed actuation. A simulation study demonstrating the successful annihilation of both alternans on a one-dimensional cable of cardiac cells by utilizing the full-state feedback controller is presented. Complimentary to these studies, a three variable Nash-Panfilov model is used to investigate alternans annihilation via mechanical (or stretch) perturbations. The coupled model includes the active stress which defines the mechanical properties of the tissue and is utilized in the feedback algorithm as an independent input from the pacing based controller realization in alternans annihilation. Simulation studies of both control methods demonstrate that the proposed methods can successfully annihilate alternans in cables that are significantly longer than 1 cm, thus overcoming the limitations of earlier control efforts.
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publisher.none.fl_str_mv American Physical Society
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spelling Control of cardiac alternans by mechanical and electrical feedbackYapari, FeliciaDeshpande, DipenBelhamadia, YoussefDubljevic, StevanA persistent alternation in the cardiac action potential duration has been linked to the onset of ventricular arrhythmia, which may lead to sudden cardiac death. A coupling between these cardiac alternans and the intracellular calcium dynamics has also been identified in previous studies. In this paper, the system of PDEs describing the small amplitude of alternans and the alternation of peak intracellular Ca2+ are stabilized by optimal boundary and spatially distributed actuation. A simulation study demonstrating the successful annihilation of both alternans on a one-dimensional cable of cardiac cells by utilizing the full-state feedback controller is presented. Complimentary to these studies, a three variable Nash-Panfilov model is used to investigate alternans annihilation via mechanical (or stretch) perturbations. The coupled model includes the active stress which defines the mechanical properties of the tissue and is utilized in the feedback algorithm as an independent input from the pacing based controller realization in alternans annihilation. Simulation studies of both control methods demonstrate that the proposed methods can successfully annihilate alternans in cables that are significantly longer than 1 cm, thus overcoming the limitations of earlier control efforts.American Physical Society2020-02-27T07:25:14Z2020-02-27T07:25:14Z2014Peer-ReviewedPublished versioninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdf2470-0053http://hdl.handle.net/11073/1663710.1103/PhysRevE.90.012706en_UShttps://doi.org/10.1103/PhysRevE.90.012706oai:repository.aus.edu:11073/166372024-08-22T12:01:38Z
spellingShingle Control of cardiac alternans by mechanical and electrical feedback
Yapari, Felicia
status_str publishedVersion
title Control of cardiac alternans by mechanical and electrical feedback
title_full Control of cardiac alternans by mechanical and electrical feedback
title_fullStr Control of cardiac alternans by mechanical and electrical feedback
title_full_unstemmed Control of cardiac alternans by mechanical and electrical feedback
title_short Control of cardiac alternans by mechanical and electrical feedback
title_sort Control of cardiac alternans by mechanical and electrical feedback
url http://hdl.handle.net/11073/16637