Personalized Modeling Pipeline for Cardiac Electrophysiology Simulations of Cardiac Resynchronization Therapy in Infarct Patients

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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 languageEnglish
Title of host publicationComputing in Cardiology Conference, CinC 2018
PublisherIEEE Computer Society
Volume2018-September
ISBN (Electronic)9781728109589
DOIs
Publication statusPublished - 1 Sept 2018
Event45th Computing in Cardiology Conference, CinC 2018 - Maastricht, Netherlands
Duration: 23 Sept 201826 Sept 2018

Conference

Conference45th Computing in Cardiology Conference, CinC 2018
Country/TerritoryNetherlands
CityMaastricht
Period23/09/201826/09/2018

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