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Pasquale C. Africa

Publications and source records attributed to Pasquale C. Africa.

5 recordsLinked to original sources

High-order Discontinuous Galerkin Methods for the Monodomain and Bidomain Models

This work aims at presenting a Discontinuous Galerkin (DG) formulation employing a spectral basis for two important models employed in cardiac electrophysiology, namely the monodomain and bidomain models. The use of DG methods is motivated by the characteristic of the mathematical solution of such equations which often corresponds to a highly steep wavefront. Hence, the built-in flexibility of discontinuous methods in developing adaptive approaches, combined with the high-order accuracy, can well represent the underlying physics. The choice of a semi-implicit time integration allows for a fast solution at each time step. The article includes some numerical tests to verify the convergence properties and the physiological behaviour of the numerical solution. Also, a pseudo-realistic simulation turns out to fully reconstruct the propagation of the electric potential, comprising the phases of depolarization and repolarization, by overcoming the typical issues related to the steepness of the wave front.

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lifex-ep: a robust and efficient software for cardiac electrophysiology simulations

Simulating the cardiac function requires the numerical solution of multi-physics and multi-scale mathematical models. This underscores the need for streamlined, accurate, and high-performance computational tools. Despite the dedicated endeavors of various research teams, comprehensive and user-friendly software programs for cardiac simulations are still in the process of achieving full maturity within the scientific community. This work introduces lifex-ep, a publicly available software for numerical simulations of the electrophysiology activity of the cardiac muscle, under both physiological and pathological conditions. lifex-ep employs the monodomain equation to model the heart's electrical activity. It incorporates both phenomenological and second-generation ionic models. These models are discretized using the Finite Element method on tetrahedral or hexahedral meshes. Additionally, lifex-ep integrates the generation of myocardial fibers based on Laplace-Dirichlet Rule-Based Methods, previously released in Africa et al., 2023, within lifex-fiber. This paper provides a concise overview of the mathematical models and numerical methods underlying lifex-ep, along with comprehensive implementation details and instructions for users. lifex-ep features exceptional parallel speedup, scaling efficiently when using up to thousands of cores, and its implementation has been verified against an established benchmark problem for computational electrophysiology. We showcase the key features of lifex-ep through various idealized and realistic simulations. lifex-ep offers a user-friendly and flexible interface. lifex-ep provides easy access to cardiac electrophysiology simulations for a wide user community. It offers a computational tool that integrates models and accurate methods for simulating cardiac electrophysiology within a high-performance framework, while maintaining a user-friendly interface.

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An open tool based on lifex for myofibers generation in cardiac computational models

Modeling the whole cardiac function involves the solution of several complex multi-physics and multi-scale models that are highly computationally demanding, which call for simpler yet accurate, high-performance computational tools. Despite the efforts made by several research groups, no software for whole-heart fully-coupled cardiac simulations in the scientific community has reached full maturity yet. In this work we present the first publicly released package of lifex, a high-performance Finite Element solver for multi-physics and multi-scale problems developed in the framework of the iHEART project. The goal of lifex is twofold. On the one side, it aims at making in silico experiments easily reproducible and accessible to a wide community of users, including those with a background in medicine or bio-engineering. On the other hand, as an academic research library lifex can be exploited by scientific computing experts to explore new mathematical models and numerical methods within a robust development framework. lifex has been developed with a modular structure and will be released bundled in different modules. The tool presented here proposes an innovative generator for myocardial fibers based on Laplace-Dirichlet Rule-Based Methods, which are the essential building blocks for modeling the electrophysiological, mechanical and electromechanical cardiac function, from single-chamber to whole-heart simulations. This report comes with an extensive technical and mathematical documentation to welcome new users to the core structure of a prototypical lifex application and to provide them with a possible approach to include the generated cardiac fibers into more sophisticated computational pipelines.

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Integration of activation maps of epicardial veins in computational cardiac electrophysiology

In this work we address the issue of validating the monodomain equation used in combination with the Bueno-Orovio ionic model for the prediction of the activation times in cardiac electro-physiology of the left ventricle. To this aim, we consider our patients who suffered from Left Bundle Branch Block (LBBB). We use activation maps performed at the septum as input data for the model and maps at the epicardial veins for the validation. In particular, a first set (half) of the latter are used to estimate the conductivities of the patient and a second set (the remaining half) to compute the errors of the numerical simulations. We find an excellent agreement between measures and numerical results. Our validated computational tool could be used to accurately predict activation times at the epicardial veins with a short mapping, i.e. by using only a part (the most proximal) of the standard acquisition points, thus reducing the invasive procedure and exposure to radiation.

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Modeling cardiac muscle fibers in ventricular and atrial electrophysiology simulations

Since myocardial fibers drive the electric signal propagation throughout the myocardium, accurately modeling their arrangement is essential for simulating heart electrophysiology (EP). Rule-Based-Methods (RBMs) represent a commonly used strategy to include cardiac fibers in computational models. A particular class of such methods is known as Laplace-Dirichlet-Rule-Based-Methods (LDRBMs) since they rely on the solution of Laplace problems. In this work we provide a unified framework, based on LDRBMs, for generating full heart muscle fibers. First, we review existing ventricular LDRBMs providing a communal mathematical description and introducing also some modeling improvements with respect to the existing literature. We then carry out a systematic comparison of LDRBMs based on meaningful biomarkers produced by numerical EP simulations. Next we propose, for the first time, a LDRBM to be used for generating atrial fibers. The new method, tested both on idealized and realistic atrial models, can be applied to any arbitrary geometries. Finally, we present numerical results obtained in a realistic whole heart where fibers are included for all the four chambers using the discussed LDRBMs.

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