Integrated simulation of pacemaker and heart model with VISSIM

Abstract

The heart is a muscular pump whose pumping action is controlled by an electrical conduction system. The disturbance in conduction may results in inefficient pumping of blood. To maintain the conduction in rhythm the device known as pacemaker can be used to deliver electrical impulses to heart. The number of heart patients has pacemaker implantation every year. While patient have implanted with pacemaker it is necessary that pacemaker should provide therapy according to the need of patient. But, there may be problems in coordination while patient’s use pacemaker leading to delivery of inefficient pulses needed for heart contractions. In this paper, a simulation tool is proposed aiming to achieve synchronization of heart and pacemaker on basis of heart’s timing properties which help patient adaption to pacemaker. Electrocardiogram is used as input diagnostic signal for evaluation of heart. An integrated simulation of pacemaker and heart model using VISSIM software is proposed for synchronization and optimization of the pacing pulses of pacemaker to check the adaptation of pacemaker by patient.