Dear Editor,This letter investigates global stabilization of uncertain nonlinear systems via adaptive event-triggered output feedback.Uncertainties lie in both system nonlinearities and measurement sensitivity.To this...Dear Editor,This letter investigates global stabilization of uncertain nonlinear systems via adaptive event-triggered output feedback.Uncertainties lie in both system nonlinearities and measurement sensitivity.To this end,a dynamic high gain is introduced to cope with the influence of large uncertainties,the unknown measurement sensitivity and the execution error,while a time-varying threshold event-triggering mechanism is constructed to effectively exclude the Zeno phenomenon.As such,the adaptive event-triggered control ensures globally bounded and convergent of system states.The design method is demonstrated using a controlled pendulum example.展开更多
Background: Cardiac output can be estimated during retrospectively gated CT coronary angiography by anatomically determining left ventricular volumes;prospective triggering to minimize radiation precludes this methodo...Background: Cardiac output can be estimated during retrospectively gated CT coronary angiography by anatomically determining left ventricular volumes;prospective triggering to minimize radiation precludes this methodology. We propose an alternative method for cardiac output estimation based on preclinical models suggesting that cardiac output may be inversely related to contrast washout from the aortic root during timing bolus scanning, as measured by peak aortic root contrast attenuation. Methods: 34 patients had CT coronary angiography timing bolus performed with 20 ml iodixanol at 5.5 ml/s followed by 20 ml normal saline at 5.5 ml/s through an 18-Ga antecubital catheter. Peak aortic root contrast attenuation was correlated to cardiac output calculated by echocardiography using heart rate stroke volume from biplane Simpson’s method.Results: Mean age was 58 ± 13 years;body surface area, 2.0 ± 0.5 m2. 53% were women. Stroke volume, cardiac output and cardiac index were 67 ± 19 ml, 4.5 ± 1.6 L/min, and 2.2 ± 0.7 L/min/m2, respectively. Peak aortic root contrast attenuation was 207 ± 46 HU and correlated to cardiac output and cardiac index with r = –0.64, p Conclusion: This novel method for cardiac output estimation by CTCA appears feasible. The CT physiologic parameters using the timing test-bolus data moderately correlated with echocardiographic assessment of cardiac output. The calculation of cardiac output adds important hemodynamic data to anatomic information provided by CTCA, and further development of this method may preserve assessment of left ventricular performance in prospective triggering.展开更多
基金supported by the National Natural Science Foundation of China(62203283)Shandong Provincial Natural Science Foundation(ZR2022QF009,ZR2023QA063)the China Postdoctoral Science Foundation(2022M711981).
文摘Dear Editor,This letter investigates global stabilization of uncertain nonlinear systems via adaptive event-triggered output feedback.Uncertainties lie in both system nonlinearities and measurement sensitivity.To this end,a dynamic high gain is introduced to cope with the influence of large uncertainties,the unknown measurement sensitivity and the execution error,while a time-varying threshold event-triggering mechanism is constructed to effectively exclude the Zeno phenomenon.As such,the adaptive event-triggered control ensures globally bounded and convergent of system states.The design method is demonstrated using a controlled pendulum example.
文摘Background: Cardiac output can be estimated during retrospectively gated CT coronary angiography by anatomically determining left ventricular volumes;prospective triggering to minimize radiation precludes this methodology. We propose an alternative method for cardiac output estimation based on preclinical models suggesting that cardiac output may be inversely related to contrast washout from the aortic root during timing bolus scanning, as measured by peak aortic root contrast attenuation. Methods: 34 patients had CT coronary angiography timing bolus performed with 20 ml iodixanol at 5.5 ml/s followed by 20 ml normal saline at 5.5 ml/s through an 18-Ga antecubital catheter. Peak aortic root contrast attenuation was correlated to cardiac output calculated by echocardiography using heart rate stroke volume from biplane Simpson’s method.Results: Mean age was 58 ± 13 years;body surface area, 2.0 ± 0.5 m2. 53% were women. Stroke volume, cardiac output and cardiac index were 67 ± 19 ml, 4.5 ± 1.6 L/min, and 2.2 ± 0.7 L/min/m2, respectively. Peak aortic root contrast attenuation was 207 ± 46 HU and correlated to cardiac output and cardiac index with r = –0.64, p Conclusion: This novel method for cardiac output estimation by CTCA appears feasible. The CT physiologic parameters using the timing test-bolus data moderately correlated with echocardiographic assessment of cardiac output. The calculation of cardiac output adds important hemodynamic data to anatomic information provided by CTCA, and further development of this method may preserve assessment of left ventricular performance in prospective triggering.
