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  4. A mathematical model that integrates cardiac electrophysiology, mechanics, and fluid dynamics: Application to the human left heart
 
research article

A mathematical model that integrates cardiac electrophysiology, mechanics, and fluid dynamics: Application to the human left heart

Bucelli, Michele
•
Zingaro, Alberto
•
Africa, Pasquale Claudio
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January 20, 2023
International Journal For Numerical Methods In Biomedical Engineering

We propose a mathematical and numerical model for the simulation of the heart function that couples cardiac electrophysiology, active and passive mechanics and hemodynamics, and includes reduced models for cardiac valves and the circulatory system. Our model accounts for the major feedback effects among the different processes that characterize the heart function, including electro-mechanical and mechano-electrical feedback as well as force-strain and force-velocity relationships. Moreover, it provides a three-dimensional representation of both the cardiac muscle and the hemodynamics, coupled in a fluid-structure interaction (FSI) model. By leveraging the multiphysics nature of the problem, we discretize it in time with a segregated electrophysiology-force generation-FSI approach, allowing for efficiency and flexibility in the numerical solution. We employ a monolithic approach for the numerical discretization of the FSI problem. We use finite elements for the spatial discretization of partial differential equations. We carry out a numerical simulation on a realistic human left heart model, obtaining results that are qualitatively and quantitatively in agreement with physiological ranges and medical images.

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Type
research article
DOI
10.1002/cnm.3678
Web of Science ID

WOS:000918347300001

Author(s)
Bucelli, Michele
•
Zingaro, Alberto
•
Africa, Pasquale Claudio
•
Fumagalli, Ivan
•
Dede', Luca
•
Quarteroni, Alfio  
Date Issued

2023-01-20

Publisher

WILEY

Published in
International Journal For Numerical Methods In Biomedical Engineering
Subjects

Engineering, Biomedical

•

Mathematical & Computational Biology

•

Mathematics, Interdisciplinary Applications

•

Engineering

•

Mathematical & Computational Biology

•

Mathematics

•

blood circulation

•

cardiac modeling

•

electromechanics

•

fluid-structure interaction

•

multiphysics modeling

•

left-ventricular volume

•

mitral-valve

•

cardiovascular-system

•

diastolic function

•

fiber orientation

•

flow

•

electromechanics

•

simulation

•

tissue

•

activation

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
CMCS  
Available on Infoscience
February 13, 2023
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/194777
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