• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2012년도 추계학술대회 논문집
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• pp.889-890
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• 2012

• 대한의용생체공학회:의공학회지
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• 제17권1호
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• pp.43-48
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• 1996

We investigated the energistics of the physiological heart model by comparing predictive indexes of the myocardial oxygen consumption (MOC), such as tension-time index (R), tension-time or force-time inteual (FTI), rate-pressure product (RPP), pressure-work index, and systolic pressure-volume area (PVA) when using the electro-hydraulic left ventricular device (LVAD). We developed the model of LVAD incorporated the closed-loop cardiovascular system with a baroreceptor which can control heart rate and time-varying elastance of left and right ventricles. On considering the benefit of the LVAD, the effects of various operation modes, especially timing of assistance, were evaluated using this coupled computer model. Overall results of the computer simulation shows that our LVAD can unload the ischemic (less contractile) heart by decreasing the MU and increasing coronary flow. Because the pump ejection at the end diastolic phase of the natural heart may increase the afterload of the left ventricle, the control scheme of our LVAD must prohibit ejecting at this time. Since the increment of coronary flow is proportional to the peak aortic pressure after ventricle contraction, the LVAD must eject immediately following the closure of the aortic valve to increase oxygen availability.

• Journal of Dental Anesthesia and Pain Medicine
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• 제22권1호
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• pp.11-18
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• 2022

Background: The vasoconstrictive effect of epinephrine in local anesthetics affects the heart, which leads to hesitation among dentists in injecting local anesthetics into patients with cardiovascular disease. Due to its vasoconstrictive effects, the present study investigated the effects of vasopressin administration on cardiac function in rats. Methods: Experiment 1 aimed to determine the vasopressin concentration that could affect cardiac function. An arterial catheter was inserted into the male Wistar rats. Next, 0.03, 0.3, and 3.0 U/mL arginine vasopressin (AVP) (0.03V, 0.3V, and 3.0V) was injected into the tongue, and the blood pressure was measured. The control group received normal saline only. In Experiment 2, following anesthesia infiltration, a pressure-volume catheter was placed in the left ventricle. Baseline values of end-systolic elastance, end-diastolic volume, end-systolic pressure, stroke work, stroke volume, and end-systolic elastance were recorded. Next, normal saline and 3.0V AVP were injected into the tongue to measure their effect on hemodynamic and cardiac function. Results: After 3.0V administration, systolic blood pressures at 10 and 15 min were higher than those of the control group; they increased at 10 min compared with those at baseline. The diastolic blood pressures at 5-15 min were higher than those of the control group; they increased at 5 and 10 min compared with those at baseline. The preload decreased at 5 and 10 min compared to that at baseline. However, the afterload increased from 5 to 15 min compared with that of the control group; it increased at 10 min compared with that at baseline. Stroke volume decreased at 10 and 15 min compared with that of the control group; it decreased from 5 to 15 min compared with that at baseline. Stroke work decreased from 5 to 15 min compared with that of the control group; it decreased from 5 to 15 min compared with that at baseline. Conclusion: Our results showed that 3.0 U/mL concentration of vasopressin resulted in increased blood pressure, decreased stroke volume and stoke work, decreased preload and increased afterload, without any effect on myocardial contractility.

• 대한핵의학회지
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• 제35권3호
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• pp.152-160
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• 2001

목적: 게이트 심근 SPECT를 이용하여 좌심실심근의 최대탄성률을 측정하는 방법의 재현성을 조사하고 단일 압력-부피 고리방법과 매개변수 최적화 방법으로 얻었을 때 재현성의 차이를 조사하였다. 대상 및 방법: 관상동맥질환이 의심되는 47명 (남자 42명, 여자 5명, 평균나이 53세, 좌심실구혈률 22-68%)에서 Tc-99m MIBI게이트 심근 SPECT와 동시에 요골동맥 긴장도를 측정하였다. 이 중 11명에서는 누운 자리에서 움직이지 않고 연이어 두번 측정하였다. 최대탄성률과 영점부피를 Lee 등이 제안한 단일 압력-부피 고리 방법과 Yoshizawa 등이 제안한 선형근사에 의한 매개변수 최적화 방법으로 추정하였다. 결과: 최대탄성률(상관계수 0.96)과 영점부피(상관계수 0.99)의 재현성은 단일 압력-부피 고리 방법이 매개변수 최적화 방법(최대탄성률 0.89, 영점부피 0.64)보다 좋았다. 두 방법으로 추정한 최대탄성률의 상관계수는 0.77, 영점부피의 상관계수는 0.65이었다. 결론: 게이트 심근 SPECT와 동맥긴장도 측정법으로 얻어 단일 압력-부피 고리 방법으로 추정한 좌심실 심근의 최대탄성률의 재현성은 매우 우수하였다. 매개변수 최적화 방법으로 얻은 최대탄성률도 우수하나 단일 압력-부피 고리 방법보다 못하였다.