نوع مقاله: مقاله کامل پژوهشی

نویسندگان

1 دانشگاه صنعتی امیرکبیر، دانشکده مهندسی پزشکی، گروه بیومکانیک

2 دانشگاه علوم پزشکی ایران، دانشکده پزشکی، گروه فارماکولوژی

3 دانشگاه علوم پزشکی شهید بهشتی، دانشکده پزشکی، گروه فیزیولوژی

10.22041/ijbme.2004.13518

چکیده

در این مقاله، یک مدل جدید برای قلب ارایه شده است که نحوه تولید و گسترش زمانی و مکانی پتانسیل عمل از بخشهای مرکزی و محیطی ضربان ساز تا کل قلب را بر مبنای رفتار کانالهای یونی غشا های تحریک پذیر سلولهای متنوع قلبی مشخص می نماید. این چنین مدلی می تواند بستر و زمینه مناسبی برای پاسخگویی به طیف گسترده تری از ضرورتهای پژوهشی و آموزشی در فیزیولوژی، الکتروفیزیولوژی، فارماکولوژی و مهندسی پزشکی با استفاده از مدلسازی الکتروشیمیایی توده ای از سلولهای متنوع قلبی و ارتباط بین بافتها و سلولهای گوناگون قلبی فراهم آورد. مدل الکتروشیمیایی سه بعدی ساده شده ای که برای قلب در این مقاله ارایه شده است مدل مسیر مرکب قلبی یا به اختصار، مدل CEP نامیده می شود. این مدل شامل مدلهای سلولهای مختلف قلبی و برهمکنش آنها با یکدیگر است. مدل CEPنسخه 2.08 در یک نمای کلی، خصوصیات الکتروفیزیولوژیکی و الکتروشیمیایی قلب در شرایط فیزیولوژیکی را بیان می کند. این مدل یک شکل هندسی ساده شده قلبی را توصیف می کند و دارای 18 لایه 25 سلولی است. برای شبیه سازی معادلات مدل، برنامه کامپیوتری جامعی طراحی شد که در محیط نرم افزار MATLAB اجرا می شود و امکانات گرافیکی وپردازشی مناسبی را در اختیار می گذارد. در این مقاله، نحوه گسترش زمانی و مکانی پتانسیل عمل در قلب با استفاده از مدل CEP نشان داده شده است.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

New Combined Electrochemical Path Modeling Of The Heart Based Membrane Ionic Channels

نویسندگان [English]

  • Farhad Tabatabaei Ghomshe 1
  • Ahmad Reza Arshi 1
  • Masoud Mahmoudian 2
  • Mahyar Janahmadi 3

1 Biomechanics Division, Department of Biomedical Engineering, AmirKabir University of Technology

2 Faculty of Medicine, Department of Pharmacology, Iran Medical Sciences University

3 Faculty of Medicine, Department of Physiology, Shaheid Beheshti Medical Sciences University

چکیده [English]

Effective pharmacological analysis encompassing both the pharmacodynamics and the pharmacokinetics of the heart, dictates the necessity for responses made by the main channel receptors, to be appropriately modelled. This approach is of critical value when the pharmacological responses of the organ during pathological states are under investigation. To this effect, the electrochemical phenomenon in the heart was simulated using a specifically simplified three dimensional model based on the cellular physiological concepts. Various advanced models for different types of heart cells were combined to produce a three dimensional model capable of describing the electrophysiological, electrochemical and geometric characteristics of a heart in a non-pathological state. Various cell type models such as central and peripheral SA node, AV node, atrial myocyte, ventricular myocyte, and specialized cells for rapid conductance like purkinje fibres were included in the 3D model. The cellular architecture in the model follows the non-heterogeneity of the heart structure accompanied by gap junctions representing cellular interconnections. Here the transport of Na+, Ca++, K+ and CL- was primarily governed by such factors as electrical and chemical potential gradients along with other energetic mechanisms. The simplified heart geometry is introduced through 18 layers with 25 cells in each layer. Model equations were solved to simulate a one second using a 2.6 GHz Pentium IV PC. The simulation was performed utilizing MA TLAB programming language which provides effective visualization capabilities. The CEP model could be adopted as a preliminary basis towards individualizations in pharmacology and electrophysiology.

کلیدواژه‌ها [English]

  • Heart
  • Electrophysiology
  • Pacemaking
  • Regional Differences
  • Computer Modeling

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