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Author:

Li, Bao (Li, Bao.) | Chen, Sihan (Chen, Sihan.) | Qi, Xingming (Qi, Xingming.) | Wang, Wenxin (Wang, Wenxin.) | Mao, Boyan (Mao, Boyan.) | Du, Jianhang (Du, Jianhang.) | Li, Xiaoling (Li, Xiaoling.) | Liu, Youjun (Liu, Youjun.) (Scholars:刘有军)

Indexed by:

EI Scopus SCIE PubMed

Abstract:

\ Traditional clinical mode of enhanced external counterpulsation is not targeted for different diseases. Specialized strategies in the treatment of enhanced external counterpulsation for coronary heart disease and cerebral ischemic stroke are supposed to be distinguished. The goal of treatment for coronary heart disease is diastolic blood pressure/systolic blood pressure=Q1.2 after counterpulsation, while the goal of treatment for cerebral ischemic stroke is the improvement of mean arterial pressure. A computational lumped parameter model was established for the simulation of hemodynamic effect of enhanced external counterpulsation on two diseases. Vessel collapse was considered during the simulation of counterpulsation. Based on different pressurized and decompressed rate, pressurized moment, pressure duration, and pressure amplitude, different counterpulsation modes were applied to the model and the immediate hemodynamic effects were compared. Results showed that the pressure duration and pressure amplitude had most influence on two diseases. For cerebral ischemic stroke, the longer pressure duration and the higher pressure amplitude of thighs, the higher mean arterial pressure; while for coronary heart disease, the value of Q was highest when the pressure end moment was 0.6s during a 0.88-s cardiac cycle, and Q had a linear increase in the pressure amplitude of buttocks, but little change with the increase of calves and thighs pressure amplitude. For patients with coronary heart disease, the pressure duration was not supposed to be too long to avoid the increase of systolic blood pressure, and the improvement of pressure amplitude of buttocks could promise a positive treatment effect for coronary heart disease. While for patients with cerebral ischemic stroke, both the long pressure duration of each part and the high pressure amplitude of thighs could result in the systolic blood pressure and diastolic blood pressure have a certain increase, thus promoting the maximum mean arterial pressure and a best treatment.

Keyword:

Specialized treatment strategies Cerebral ischemic stroke Lumped parameter model Enhanced external counterpulsation Coronary heart disease

Author Community:

  • [ 1 ] [Li, Bao]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 2 ] [Chen, Sihan]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 3 ] [Qi, Xingming]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 4 ] [Wang, Wenxin]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 5 ] [Mao, Boyan]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 6 ] [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 7 ] [Du, Jianhang]Sun Yat Sen Univ, Affiliated Hosp 8, 3025 ShenNan Rd, Shenzhen 518033, Guangdong, Peoples R China
  • [ 8 ] [Li, Xiaoling]Sun Yat Sen Univ, Affiliated Hosp 8, 3025 ShenNan Rd, Shenzhen 518033, Guangdong, Peoples R China

Reprint Author's Address:

  • 刘有军

    [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China

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Source :

MEDICAL & BIOLOGICAL ENGINEERING & COMPUTING

ISSN: 0140-0118

Year: 2018

Issue: 11

Volume: 56

Page: 1959-1971

3 . 2 0 0

JCR@2022

ESI Discipline: ENGINEERING;

ESI HC Threshold:156

JCR Journal Grade:3

Cited Count:

WoS CC Cited Count: 12

SCOPUS Cited Count: 14

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 7

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