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A simulation study of accessory pathway conduction for treatment strategies in WPW syndrome

Research Project

Project/Area Number 17K01366
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Biomedical engineering/Biomaterial science and engineering
Research InstitutionUniversity of Hyogo

Principal Investigator

Haraguchi Ryo  兵庫県立大学, 応用情報科学研究科, 准教授 (00393215)

Co-Investigator(Kenkyū-buntansha) 芳本 潤  地方独立行政法人静岡県立病院機構静岡県立こども病院(臨床研究室), 臨床研究室, その他 (20795330)
松山 高明  昭和大学, 医学部, 教授 (40349113)
芦原 貴司  滋賀医科大学, 情報総合センター, 教授 (80396259)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords生体シミュレーション / 不整脈 / WPW / 小児 / モデリング
Outline of Final Research Achievements

We performed computer simulations to investigate the relationship between the accessory pathway bundle size, intercellular conductivity, and antegrade conduction. We found that a thick accessory pathway promotes antegrade conduction, high ventricular conductivity promotes antegrade conduction, and high accessory pathway conductivity prevents antegrade conduction. A source-sink mismatch may explain the first two points; an electrotonic current may explain the last one. Our findings provide new insights into the morphological and electrophysiological details of the accessory pathway.
In addition, we developed WPW computer simulation systems and programs for both adults and children. These tools will enable us to conduct the next simulation studies for estimating the location of the accessory pathway in pediatric WPW syndrome.

Academic Significance and Societal Importance of the Research Achievements

WPW症候群においては先天的に副伝導路が存在するが,心電図異常や頻拍発作が顕在化するのは生後すぐとは限らず人によって様々である.また心筋組織における伝導率は一般に加齢とともに低下する.以上のことから,先天的に副伝導路が存在し,かつ加齢により副伝導路の伝導率が低下することにより,副伝導路を介した伝導が成立するようになるというWPW症候群の顕在化メカニズムの可能性が示唆された.

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (18 results)

All 2019 2018 2017

All Journal Article (5 results) (of which Open Access: 1 results,  Peer Reviewed: 4 results) Presentation (12 results) (of which Int'l Joint Research: 4 results,  Invited: 4 results) Book (1 results)

  • [Journal Article] Cardiac Imaging: Techniques and Applications2019

    • Author(s)
      原口 亮
    • Journal Title

      Medical Imaging Technology

      Volume: 37 Issue: 2 Pages: 95-106

    • DOI

      10.11409/mit.37.95

    • NAID

      130007633115

    • ISSN
      0288-450X, 2185-3193
    • Year and Date
      2019-03-25
    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Computer Simulation of Anterograde Accessory Pathway Conduction in Wolff-Parkinson-White Syndrome with a Simplified Model2019

    • Author(s)
      Haraguchi Ryo、Matsuyama Taka-aki、Yoshimoto Jun、Ashihara Takashi
    • Journal Title

      Computing in Cardiology 2019

      Volume: 46 Pages: 1-4

    • DOI

      10.22489/cinc.2019.009

    • Related Report
      2019 Annual Research Report
    • Open Access
  • [Journal Article] Occurrence of a primary liver cancer with an unusual histologic appearance as a late Fontan complication2019

    • Author(s)
      Matsuyama Taka-aki、Ohuchi Hideo、Saito Koji、Kondo Fukuo、Fukusato Toshio、Ishibashi-Ueda Hatsue
    • Journal Title

      Pathology - Research and Practice

      Volume: 215 Issue: 6 Pages: 152366-152366

    • DOI

      10.1016/j.prp.2019.02.016

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] 不整脈の既往がある心臓を解剖するために知っておきたいこと2019

    • Author(s)
      松山 高明
    • Journal Title

      診断病理

      Volume: 36 Pages: 7-14

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Three-dimensional histologic reconstruction of remnant functional accessory atrioventricular myocardial connections in a case of Wolff-Parkinson-White syndrome2018

    • Author(s)
      Matsuyama Taka-aki、Haraguchi Ryo、Nakashima Junko、Kusano Kengo、Ishibashi-Ueda Hatsue
    • Journal Title

      Cardiovascular Pathology

      Volume: 37 Pages: 1-4

    • DOI

      10.1016/j.carpath.2018.07.003

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] Computer Simulation of Anterograde Accessory Pathway Conduction in Wolff-Parkinson-White Syndrome with a Simplified Model2019

    • Author(s)
      Ryo Haraguchi, Taka-aki Matsuyama, Jun Yoshimoto, Takashi Ashihara
    • Organizer
      Computing in Cardiology 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Computer Simulation of Accessory Pathway Conduction in Wolff-Parkinson-White Syndrome with a Simplified Heart Wall Model2019

    • Author(s)
      Ryo Haraguchi, Takashi Ashihara, Taka-Aki Matsuyama, Jun Yoshimoto
    • Organizer
      第66回日本不整脈心電学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Histologic Features of the Right and Left Side Bundles of Kent; Two Autopsy Cases of WPW Syndrome2019

    • Author(s)
      Taka-Aki Matsuyama, Ryo Haraguchi, Kengo Kusano, Ishibashi-Ueda Hatsue, Kinta Hatakeyama, Katsuhiko Hatake
    • Organizer
      第66回日本不整脈心電学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] WPW症候群における副伝導路の伝導成立条件のコンピュータシミュレーションによる検討2019

    • Author(s)
      原口 亮, 芦原 貴司, 松山 高明, 芳本 潤
    • Organizer
      第63回システム制御情報学会研究発表講演会 (SCI’19)
    • Related Report
      2019 Annual Research Report
  • [Presentation] Computer simulation of accessory pathway conduction in Wolff-Parkinson-White syndrome with a simplified heart wall model2019

    • Author(s)
      Ryo Haraguchi, Takashi Ashihara, Taka-aki Matsuyama, Jun Yoshimoto
    • Organizer
      第66回日本不整脈心電学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] Computer Simulation of Anterograde Conduction of the Accessory Pathways in Wolf-Parkinson-White Syndrome with a Simplified Heart Wall Model2018

    • Author(s)
      Ryo Haraguchi, Takashi Ashihara, Taka-aki Matsuyama, Jun Yoshimoto
    • Organizer
      11th Asia Pacific Heart Rhythm Society Scientific Session
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Mechanism of atrial fibrillation: Initiation and perpetuation: Persistent mechanisms of non-paroxysmal atrial fibrillation: A combined study of clinical ExTRa Mapping and in silico.2018

    • Author(s)
      Ashihara T, Sakata K, Okuyama Y, Ozawa T, Haraguchi R, Nakazawa K, Tsuchiya T
    • Organizer
      The 65th Annual Meeting of the Japanese Heart Rhythm Society (JHRS 2018)
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 難治性不整脈の病態解明・診断・治療における戦略的技術開発」:臨床不整脈映像化システムによる非発作性心房細動の維持機構の解明:ExTRa Mapping Project2018

    • Author(s)
      芦原貴司,坂田憲祐,奥山雄介,小澤友哉,原口 亮,稲田 慎,中沢一雄,土谷 健
    • Organizer
      第57回日本生体医工学会大会(JSMBE)
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] WPW 症候群の侵襲的治療歴のある2剖検例の組織学的検討2017

    • Author(s)
      松山高明,藤城雅也,李暁鵬,佐藤啓造,原口亮,中嶋絢子,植田初江,草野研吾
    • Organizer
      第39回心筋生検研究会
    • Related Report
      2017 Research-status Report
  • [Presentation] Driver mapping and ablation for atrial fibrillation: ExTRa Mapping and Rotor targeted ablation2017

    • Author(s)
      T. Ashihara
    • Organizer
      The 10th Asia-Pacific Heart Rhythm Society Scientific Session (APHRS) in conjunction with the Annual Meeting of the Japanese Heart Rhythm Society (JHRS) 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] ExTRa Mapping-guided non-passively activated area ablation is very effective for patients with non-paroxysmal atrial fibrillation2017

    • Author(s)
      T. Ashihara
    • Organizer
      The 44th International Congress on Electrocardiology (ICE)/The 17th Congress of the International Society for Holter and Noninvasive Electrocardiology (ISHNE)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 「可視化および計算科学に基づく心臓不整脈治療戦略の構築」:非発作性心房細動に対するExTRa Mappingガイド下アブレーションの有用性:ExTRa Mapping Project2017

    • Author(s)
      芦原貴司,坂田憲祐,小澤友哉,土谷 健,原口 亮,稲田 慎,中沢一雄,堀江 稔
    • Organizer
      第56回日本生体医工学会大会(JSMBE)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Book] 多元計算解剖学の基礎と臨床への応用 (担当:分担執筆, 範囲:4.7.循環器内科学への臨床応用;心臓)2018

    • Author(s)
      橋爪 誠
    • Total Pages
      304
    • Publisher
      誠文堂新光社
    • ISBN
      9784416518243
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2021-02-19  

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