• Title/Summary/Keyword: ventricular performance

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Development and Evaluation of Pneumatic Ventricular Assist Device (공압식 심실보조장치의 개발 및 평가)

  • Lee, S.H.;Park, I.T.;Kim, S.H.;Han, D.S.;Lee, H.J.
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.247-250
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    • 1995
  • The purpose of this paper is to develop diaphragm-type pneumatic ventricular assist device(VAD) for clinical application and to evaluate its performance through the mock circulation system. The blood housing and diaphragm are made by coating pellethane on the metallic mold and the back plate is made by machining process. The relations of cardiac output(CO) vs. beat rate and CO vs. systolic-to-diastolic rate was estimated through the mock test and hemodynamic waves are recorded for the evaluation of VAD. As a result, the volume of blood pump is 70 ml, maximum CO is 5 L/min and CO has a close relation to the input resistance of blood pump. The hemodynamic data and waves showed this system can be applicable to the animal experiment.

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Pattern Classification Model Design and Performance Comparison for Data Mining of Time Series Data (시계열 자료의 데이터마이닝을 위한 패턴분류 모델설계 및 성능비교)

  • Lee, Soo-Yong;Lee, Kyoung-Joung
    • Journal of the Korean Institute of Intelligent Systems
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    • v.21 no.6
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    • pp.730-736
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    • 2011
  • In this paper, we designed the models for pattern classification which can reflect the latest trend in time series. It has been shown that fusion models based on statistical and AI methods are superior to traditional ones for the pattern classification model supporting decision making. Especially, the hit rates of pattern classification models combined with fuzzy theory are relatively increased. The statistical SVM models combined with fuzzy membership function, or the models combining neural network and FCM has shown good performance. BPN, PNN, FNN, FCM, SVM, FSVM, Decision Tree, Time Series Analysis, and Regression Analysis were used for pattern classification models in the experiments of this paper. The economical indices DB with time series properties of the financial market(Korea, KOSPI200 DB) and the electrocardiogram DB of arrhythmia patients in hospital emergencies(USA, MIT-BIH DB) were used for data base.

Modified Tei index in patients with Kawasaki disease by tissue doppler imaging (가와사키병 환아에서 Tissue doppler imaging으로 측정한 modified Tei 지수)

  • Kim, Hee Jung;Cha, Jung Hwa;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.49 no.11
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    • pp.1202-1210
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    • 2006
  • Purpose : A quantitative and easily measured Doppler index of combined systolic and diastolic ventricular myocardial performance (Tei index) was recently proposed as a potentially useful predictor of global myocardial performance. However, presence of heart rate fluctuation makes it unreliable. Therefore, the modified Tei index was introduced by using tissue Doppler imaging (TDI) which enables measuring contraction and relaxation velocities from myocardium simultaneously. The purpose of this study was to investigate the effectiveness of the modified Tei index in the evaluation of global cardiac function. Methods : Forty eight patients in the acute phase of Kawasaki disease (KD) were studied. These patients were divided into two groups according to the modified Tei index. TDI and conventional echocardiography were performed. Systolic velocity, systolic displacement, E' velocity, E' displacement, A' velocity and A' displacement were measured at the base, mid-septum and the apex of the interventricular septum. Ejection fraction (EF), Tei index and modified Tei index were estimated. Results : Modified Tei index correlated negatively with systolic displacement, E' displacement and A' displacement at the base. Modified Tei index correlated positively with ESR and CRP. EF and Tei index were normal in KD patients. Conclusion : Modified Tei index is a safe, feasible and sensitive index for evaluating global ventricular functions in spite of normal EF and Tei index in KD.

A Study on the Evaluation of Hydrodynamic Performance of Trileaflet Prosthetic Heart Valves (삼엽식 인공판막의 수력학적 성능평가에 관한 연구)

  • 김혁필;이계한
    • Journal of Biomedical Engineering Research
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    • v.18 no.2
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    • pp.147-156
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    • 1997
  • Various prosthetic heart valves have been developed and used clinically, but they have problems, such as thrombogenecity, hemoltsis, high cost and low durability. New types of trileaflet polymer heart valves have been developed in order to use them as inlet and outlet valves in a ventricular assist device. The aim of this study is to determine the hydrodynamic effectiveness of the newly designed trileaflet polymer valves and their feasibility for temporary use in the blood pumps. Trileaflet polymer valves are made of polyurethane, because of its good blood compatibility, high tonsil strength and good resistance to fatigue. An in vitro experimental investigation was perf'ormed in order to ev91ua1e hydrodynamic performance of the trileaflet polymer valves having different design and fabrication tech- niques. The St. Jude Medical valve (SJMV) and floating-type monoleaflet polymer valve (MLPV) were also tested The pressure drop across the valve, leakage volume, and the flow patterns mere investigated for valves. The result of comparative tests showed that the trileaflet polymer valves had a better hydrodynamic performance than the others. TPV which has two stable membrane shape showed the lowest back flow. The pressure hops of TPVs were lower than that of MLPV, but slightly higher than SJMV. The hydrodynamic performance of valves under the pulastile flow showed the similar results as steady flow. The velocity profiles and turbulent intensities were measured at the distal sites of valves using a hot-film anemometer. Central flow was maintained in trileaflet polymer valves, and the maximum turbulent intensities were lower in TPVs comparing to MLPV.

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New Imaging Techniques in Myocardial Perfusion SPECT (심근 관류 SOECT의 새로운 방법)

  • Lee, Dong Soo
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.1
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    • pp.1-9
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    • 1998
  • Gated myocardial SPECT and attenuation correction gave birth to new insights into the pathophysiology of ischemic myocardial perfusion and function in clinical routine practice. Gated myocardial Tc-99m-compound SPECT improved diagnostic accuracy of coronary artery disease and enabled us to observe motion and thickening of myocardial walls as well as myocardial perfusion at the same time. Quantitative and qualitative assessment of myocardial performance and perfusion let us to understand the myocardial physiology in ischemia and infarction. In every patient who underwent gated perfusion SPECT, we will find ejection fraction, left ventricular volumes and regional wall motion. There are hopes to use gated TI-201 SPECT for the same purpose and to use gated SPECT for evaluation of wall motion and thickening at stress or immediate post-stress. Attenuation correction could improve diagnostic accuracy mainly by increasing normalcy ratio or performance of non-expert physicians. Both gated methods and attenuation correction improved specificity of non-expert physicians in diagnosing patients with moderate pretest likelihood. New imaging techniques will fill the desire of cardiologists to examine function and perfusion, and possibly metabolism in their clinical routine practice.

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Wireless Magnetic Pump: Characteristics of Magnetic Impellers and Medical Application

  • Song, Moon Kyou;Kim, Sung Hoon
    • Journal of Magnetics
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    • v.22 no.2
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    • pp.344-351
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    • 2017
  • Wireless magnet pumps are used in medical applications and are particularly useful as artificial heart ventricular assist devices (VADs). To investigate wireless operation of magnetic pumps, we fabricated three types of magnetic impellers using bonded magnets by blending magnetic powders of SmFeN, NdFeB, and Sr-ferrite. We investigated the magnetic properties of the fabricated magnetic impellers, which are driven by the application of magnetic coupling with an external driving magnet or external coil system, without a driving motor, shaft, or mechanical bearings. The use of wireless magnetic pumps is therefore not complicated by critical issues of size, heat, and vibration, which are very important issues for blood pumps. The magnetic properties of the impellers, such as their rotational speed, driving torque and hydrodynamic performance, determine their wireless driving ranges. We conducted performance evaluations of the impeller's magnetic wireless manipulation, heat, and vibration. In addition, we carried out an animal test to confirm the suitability of the wireless magnetic pumps for use as biventricular assist devices (BiVADs).

Consumption of a high-fat-high-sucrose diet partly diminishes mechanical and structural adaptations of cardiac muscle following resistance training

  • Boldt, Kevin;Mattiello, Stela;Joumaa, Venus;Turnbull, Jeannine;Fedak, Paul W.M.;Herzog, Walter
    • Korean Journal of Exercise Nutrition
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    • v.25 no.2
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    • pp.8-14
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    • 2021
  • [Purpose] The purpose of this study was to investigate the effects of a high-fat high-sucrose (HFHS) diet on previously reported adaptations of cardiac morphological and contractile properties to resistance training. [Methods] Twelve-week-old rats participated in 12-weeks of resistance exercise training and consumed an HFHS diet. Echocardiography and skinned cardiac muscle fiber bundle testing were performed to determine the structural and mechanical adaptations. [Results] Compared to chow-fed sedentary animals, both HFHS- and chow-fed resistance-trained animals had thicker left ventricular walls. Isolated trabecular fiber bundles from chow-fed resistance-trained animals had greater force output, shortening velocities, and calcium sensitivities than those of chow-fed sedentary controls. However, trabeculae from the HFHS resistance-trained animals had greater force output but no change in unloaded shortening velocity or calcium sensitivity than those of the chow-fed sedentary group animals. [Conclusion] Resistance exercise training led to positive structural and mechanical adaptations of the heart, which were partly offset by the HFHS diet.

The Detection of PVC based Rhythm Analysis and Beat Matching (리듬분석과 비트매칭을 통한 조기심실수축(PVC) 검출)

  • Jeon, Hong-Kyu;Cho, Ik-Sung;Kwon, Hyeog-Soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.13 no.11
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    • pp.2391-2398
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    • 2009
  • Premature ventricular contractions are the most common of all arrhythmias and may cause more serious situation in some patients. Therefore, the detection of this arrhythmia becomes crucial in the early diagnosis and prevention of possible life threatening cardiac diseases. Most of the algorithms detecting PVC reported in literature is not always feasible due to the presence of noise and P wave making the detection difficult, and the process being time consuming and ineffective for real time analysis. To solve this problem, a new approach for the detection of PVC is presented based rhythm analysis and beat matching in this paper. For this purpose, the ECG signals are first processed by the usual preprocessing method and R wave was detected. The algorithm that decides beat type using the rhythm analysis of RR interval and beat matching of QRS width is developed. The performance of R wave and PVC detection is evaluated by using MIT-BIH arrhythmia database. The achieved scores indicate sensitivity of 99.74%, positive predictivity of 99.81% and sensitivity of 93.91%, positive predictivity of 96.48% accuracy respectively for R wave and PVC detection.

Flow Evaluation and Hemolysis Analysis of BVAD Centrifugal Blood Pump by Computational Fluids Dynamics

  • Bumrungpetch, Jeerasit;Tan, Andy Chit;Liu, Shu-Hong;Luo, Xian-Wu;Wu, Qing-Yu;Yuan, Jian-Ping;Zhang, Ming-Kui
    • International Journal of Fluid Machinery and Systems
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    • v.7 no.1
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    • pp.34-41
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    • 2014
  • Computational fluid dynamics (CFD) and particle image velocimetry (PIV) are commonly used techniques to evaluate the flow characteristics in the development stage of blood pumps. CFD technique allows rapid change to pump parameters to optimize the pump performance without having to construct a costly prototype model. These techniques are used in the construction of a bi-ventricular assist device (BVAD) which combines the functions of LVAD and RVAD in a compact unit. The BVAD construction consists of two separate chambers with similar impellers, volutes, inlet and output sections. To achieve the required flow characteristics of an average flow rate of 5 l/min and different pressure heads (left - 100mmHg and right - 20mmHg), the impellers were set at different rotating speeds. From the CFD results, a six-blade impeller design was adopted for the development of the BVAD. It was also observed that the fluid can flow smoothly through the pump with minimum shear stress and area of stagnation which are related to haemolysis and thrombosis. Based on the compatible Reynolds number the flow through the model was calculated for the left and the right pumps. As it was not possible to have both the left and right chambers in the experimental model, the left and right pumps were tested separately.

Optimal Parameter Extraction based on Deep Learning for Premature Ventricular Contraction Detection (심실 조기 수축 비트 검출을 위한 딥러닝 기반의 최적 파라미터 검출)

  • Cho, Ik-sung;Kwon, Hyeog-soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.12
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    • pp.1542-1550
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    • 2019
  • Legacy studies for classifying arrhythmia have been studied to improve the accuracy of classification, Neural Network, Fuzzy, etc. Deep learning is most frequently used for arrhythmia classification using error backpropagation algorithm by solving the limit of hidden layer number, which is a problem of neural network. In order to apply a deep learning model to an ECG signal, it is necessary to select an optimal model and parameters. In this paper, we propose optimal parameter extraction method based on a deep learning. For this purpose, R-wave is detected in the ECG signal from which noise has been removed, QRS and RR interval segment is modelled. And then, the weights were learned by supervised learning method through deep learning and the model was evaluated by the verification data. The detection and classification rate of R wave and PVC is evaluated through MIT-BIH arrhythmia database. The performance results indicate the average of 99.77% in R wave detection and 97.84% in PVC classification.