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Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Related Experiment Video

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Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
08:49

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Published on: May 11, 2018

Artificial muscle for end-stage heart failure.

Piergiorgio Tozzi1, Alexandre Michalis, Daniel Hayoz

  • 1Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. Piergiorgio.Tozzi@chuv.ch

ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|February 29, 2012
PubMed
Summary

A novel artificial muscle device using Biometal muscle (BM) offers a new treatment for end-stage heart failure. This innovative heart assist device shows promise in improving cardiac function and potentially replacing natural muscle mechanics.

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Area of Science:

  • Biomedical Engineering
  • Cardiovascular Research
  • Materials Science

Background:

  • End-stage heart failure necessitates advanced mechanical circulatory support.
  • Current heart assist devices have limitations.
  • Artificial muscle technology presents a novel therapeutic avenue.

Purpose of the Study:

  • To describe a new artificial muscle device for end-stage heart failure treatment.
  • To evaluate the efficacy of this device as an alternative to existing heart assist technologies.
  • To introduce Biometal muscle (BM) as a key component for cardiac assistance.

Main Methods:

  • Development of a device utilizing a Biometal muscle (BM) matrix of nitinol wires and aramidic fibers.
  • Integration of the BM with a carbon fiber scaffold for heart tightening and biventricular assistance.
  • Control of BM contraction via a pacemaker-like microprocessor.
  • Testing in a dedicated bench model simulating a diseased heart.

Main Results:

  • The device generated a systolic pressure of 75 mm Hg.
  • Maximum ejection was 330 ml/min, with an ejection fraction of 12%.
  • The device operated with a low power requirement (6 V, 250 mA).

Conclusions:

  • The Biometal muscle device demonstrates potential as an effective heart assist technology.
  • This innovation could lead to integrating or replacing the mechanical function of natural heart muscles.
  • Further research may establish this as a new era in treating heart failure.