Development and evaluation of a remote monitoring system and its application to cardiac rehabilitation and occupational health. This project further develops and evaluates a system developed by the Industry Partner which permits real-time remote monitoring of a person's cardiac activity, position and velocity via GPS, and selected aspects of motion and posture using accelerometry. The study has three aims: to enhance the system's capacity for remote monitoring of human motion and physiology; to ....Development and evaluation of a remote monitoring system and its application to cardiac rehabilitation and occupational health. This project further develops and evaluates a system developed by the Industry Partner which permits real-time remote monitoring of a person's cardiac activity, position and velocity via GPS, and selected aspects of motion and posture using accelerometry. The study has three aims: to enhance the system's capacity for remote monitoring of human motion and physiology; to test its ability to support cardiac rehabilitation for those unable to access hospital-based programs; and to evaluate its application to the monitoring of workloads in physically demanding tasks associated with cardiovascular ill-health and musculoskeletal injury.Read moreRead less
Analysis of non-invasive central aortic pressure using a Web-based international database. Blood pressure is measured conventionally with a cuff around the upper arm. A marked difference exists between pressure at the heart (central aorta) and that in the arm. Technology developed by the industrial partner allows non-invasive measurement of aortic pressure, a value relevant for many forms of heart conditions. We will develop a web-based system and software protocols to provide a facility for epi ....Analysis of non-invasive central aortic pressure using a Web-based international database. Blood pressure is measured conventionally with a cuff around the upper arm. A marked difference exists between pressure at the heart (central aorta) and that in the arm. Technology developed by the industrial partner allows non-invasive measurement of aortic pressure, a value relevant for many forms of heart conditions. We will develop a web-based system and software protocols to provide a facility for epidemiological analysis of aortic pressure. This facility will provide, for the first time in the history of epidemiology of blood pressure in humans, the means to relate normal and abnormal aging changes to pressure at the heart.Read moreRead less
Development of an implantable blood flow and pressure monitor for pulmonary hypertension. The aim is to develop an implantable device for continuous measurement of blood pressure and flow rate in the pulmonary artery. The device is to store data and download it on request to an external device. Development steps include design of the sensor lead incorporating impedance electrodes and a pressure transducer, numerical modelling of the electrode system, characterising pressure and flow waveforms f ....Development of an implantable blood flow and pressure monitor for pulmonary hypertension. The aim is to develop an implantable device for continuous measurement of blood pressure and flow rate in the pulmonary artery. The device is to store data and download it on request to an external device. Development steps include design of the sensor lead incorporating impedance electrodes and a pressure transducer, numerical modelling of the electrode system, characterising pressure and flow waveforms for condensed storage, establishing flow sensor and blood flow relationships and assessment of sensor stability and calibration demands. The device will facilitate research in pulmonary hypertension and may lead to clinical devices for monitoring effectiveness of treatment.Read moreRead less
Non-invasive control of an implantable rotary blood pump used as a left ventricular assist device. The Holy Grail for developers of rotary blood pumps used as left ventricular assist devices is to control the pump to meet the body's metabolic demand and to do this without the need for implanting additional sensors. The controller must also detect and avoid dangerous states associated with over and under pumping.
In this research we will derive and implement a pump control algorithm that will ....Non-invasive control of an implantable rotary blood pump used as a left ventricular assist device. The Holy Grail for developers of rotary blood pumps used as left ventricular assist devices is to control the pump to meet the body's metabolic demand and to do this without the need for implanting additional sensors. The controller must also detect and avoid dangerous states associated with over and under pumping.
In this research we will derive and implement a pump control algorithm that will allow non-invasive prediction of pump flow, automatic detection of pumping states and adjustments for the metabolic demand of the body. The algorithms will be tested on the bench and in animal and human studies.Read moreRead less
Development of a multivariate physiologic state space analysis framework for characterising functional properties of the cardiovascular system. Pathologies of the cardiovascular system arising from heart diseases make a major contribution to morbidity and mortality in the Australian community. This project will provide new diagnostic modalities based on advanced noninvasive bioinstrumentation, signal processing and model-based analytical methods to identify early signs of developing disease or t ....Development of a multivariate physiologic state space analysis framework for characterising functional properties of the cardiovascular system. Pathologies of the cardiovascular system arising from heart diseases make a major contribution to morbidity and mortality in the Australian community. This project will provide new diagnostic modalities based on advanced noninvasive bioinstrumentation, signal processing and model-based analytical methods to identify early signs of developing disease or the acute exacerbation of existing disease. The impact of these new technologies on the early diagnosis and improved triaging of patients in emergency departments is potentially profound and could result in improved healthcare outcomes for the patients and reduced admissions to hospital as well as the development of a substantial international market.Read moreRead less
Hybrid Sensor-based Physiological Control of an Implantable Rotary Blood Pump. With over 11 million people needing heart transplants worldwide and only 3000 donor hearts, an effective alternative therapy is needed. The Ventracor Ltd. rotary blood pump is one possible approach whereby a fully implantable mechanical device assists the failing heart. The innovative steps in this research proposal will be a means to robustly and safely control the speed of the pump to meet the metabolic needs of the ....Hybrid Sensor-based Physiological Control of an Implantable Rotary Blood Pump. With over 11 million people needing heart transplants worldwide and only 3000 donor hearts, an effective alternative therapy is needed. The Ventracor Ltd. rotary blood pump is one possible approach whereby a fully implantable mechanical device assists the failing heart. The innovative steps in this research proposal will be a means to robustly and safely control the speed of the pump to meet the metabolic needs of the body. Apart from the obvious health benefits for patients, this will provide the company with a huge market advantage that will also help to bolster the Australian medical device industry.Read moreRead less
Computational Reconstruction of Cardiac Pacemaker Activation and Atrial Propagation. This study seeks to develop accurate computer models of electrical activity in pacemaker and atrial cells of the heart, in order to understand how the heartbeat originates and propagates across the atria during normal and abnormal rhythms. In Australia, atrial fibrillation represents the most common form of chronic cardiac arrhythmia encountered in clinical practice, as well as being a major risk factor in strok ....Computational Reconstruction of Cardiac Pacemaker Activation and Atrial Propagation. This study seeks to develop accurate computer models of electrical activity in pacemaker and atrial cells of the heart, in order to understand how the heartbeat originates and propagates across the atria during normal and abnormal rhythms. In Australia, atrial fibrillation represents the most common form of chronic cardiac arrhythmia encountered in clinical practice, as well as being a major risk factor in stroke. Accurate computer modelling of normal and abnormal heart rhythms will provide greater insights into the development of antiarrythmic drugs as well as advancing knowledge of key electrical phenomena in the heart.Read moreRead less
Engineering Imaging and Supercomputer Prediction of Biofluid Flows. The potential of the information gained from the lung imaging for improving the diagnosis and monitoring of adult respiratory diseases, such as emphysema, pulmonary fibrosis and asthma, is enormous. Abnormalities in the structure and function of the kidney circulation are likely key factors causing hypertension, so a detailed understanding of the kidney circulation is required before we can cure or prevent hypertension. The rese ....Engineering Imaging and Supercomputer Prediction of Biofluid Flows. The potential of the information gained from the lung imaging for improving the diagnosis and monitoring of adult respiratory diseases, such as emphysema, pulmonary fibrosis and asthma, is enormous. Abnormalities in the structure and function of the kidney circulation are likely key factors causing hypertension, so a detailed understanding of the kidney circulation is required before we can cure or prevent hypertension. The research underpinning cardiovascular and renal flows will assist in the understanding of hypertension, a major risk factor for cardiovascular disease, which accounts for approximately 40% of all deaths in Australia and particularly high for dialysis patients. Read moreRead less
Regulation of large artery stiffness by endothelium-derived mediators and effects on the arterial pressure waveform. Stiffening of arteries is an important cardiovascular risk factor and increases with age, high blood pressure, high cholesterol and diabetes. Cells that line the blood vessels (endothelial cells), become damaged and this reduces the available amount of a dilator substance, nitric oxide, and increases the activity of a constrictor substance, endothelin-1. We have shown that nitric ....Regulation of large artery stiffness by endothelium-derived mediators and effects on the arterial pressure waveform. Stiffening of arteries is an important cardiovascular risk factor and increases with age, high blood pressure, high cholesterol and diabetes. Cells that line the blood vessels (endothelial cells), become damaged and this reduces the available amount of a dilator substance, nitric oxide, and increases the activity of a constrictor substance, endothelin-1. We have shown that nitric oxide regulates large artery stiffness and we believe that other endothelial mediators are also important regulators. Therefore, we aim to explore this in a series of studies. Regulation of stiffness of large arteries will improve treatment of age-related cardiovascular disease (eg isolated systolic hypertension)Read moreRead less
Heparan sulfate proteoglycan from smooth muscle cell basal lamina: It's role in cell signalling. Heart disease is the major killer of people in the Western world. central to this disease is the killing of heart muscle tissue to it being starved of oxygen via a "heart attack". One of the common treatments is coronary artery bypass surgery, however, the supply of vessels that can be used is limited. In order to provide an alternative supply of vessels, we are aiming to engineer blood vessels i ....Heparan sulfate proteoglycan from smooth muscle cell basal lamina: It's role in cell signalling. Heart disease is the major killer of people in the Western world. central to this disease is the killing of heart muscle tissue to it being starved of oxygen via a "heart attack". One of the common treatments is coronary artery bypass surgery, however, the supply of vessels that can be used is limited. In order to provide an alternative supply of vessels, we are aiming to engineer blood vessels in the laboratory. The major cell of the wall of arteries, the smooth muscle cell, is critical to normal functioning and integration of these transplanted arteries. To do this we will need to understand the cell signalling responses of these cells in relation to molecules in their surrounding environment.Read moreRead less