Abstract
Cardiac Resynchronization Therapy (CRT) is associated with increased arrhythmogenic risk in infarct patients when pacing adjacent to a scar. We investigated the role of pacing location relative to scar on dispersion of repolarization, as a surrogate for arrhythmogenic risk. For this task, we developed a personalization and simulation pipeline that allows fast development of personalized computational models and simulation of cardiac electrophysiology. Twenty four models of left ventricular anatomy and scar morphology were built and repolarization sequences were simulated. Simulation results show that CRT increases dispersion of repolarization around a scar when pacing adjacent to it, thus, providing a mechanistic explanation of increased arrhythmogenic risk in infarct patients undergoing CRT.
Original language | English |
---|---|
Title of host publication | Computing in Cardiology Conference, CinC 2018 |
Publisher | IEEE Computer Society |
Volume | 2018-September |
ISBN (Electronic) | 9781728109589 |
DOIs | |
Publication status | Published - 1 Sept 2018 |
Event | 45th Computing in Cardiology Conference, CinC 2018 - Maastricht, Netherlands Duration: 23 Sept 2018 → 26 Sept 2018 |
Conference
Conference | 45th Computing in Cardiology Conference, CinC 2018 |
---|---|
Country/Territory | Netherlands |
City | Maastricht |
Period | 23/09/2018 → 26/09/2018 |