Arterial wall diameter and viscoelasticity variability

L. Gamero, R. Armentano, J. Levenson
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引用次数: 10

Abstract

The aim of this study was to evaluate and characterize arterial diameter and arterial wall viscoelastic variability. An animal study was performed on seven sheep instrumented in the brachycephalic artery. ECG, arterial diameter and pressure waveforms were simultaneously measured. Four different hemodynamic conditions were considered: 1) under anesthesia, 2) conscious steady state, 3) vascular smooth muscle (VSM) activation and 4) VSM relaxation. A system modeling identification approach was applied in order to estimate viscoelastic indexes. The linear autoregressive with exogenous input model (ARX) was applied to the single beat pressure-diameter data to assess the arterial system dynamics. The elastic and viscous indexes were derived from the identified ARX model. Arterial pressure and diameter, heart rate and viscoelastic indexes variability analysis were performed in the time and frequency domains. While systolic pressure and arterial diameter oscillation show a similar pattern to heart rate at all frequency bands in control condition, wall viscosity variability does not match with these parameters (p<0.05). Compared with control condition, arterial diameter variability was lower during anesthesia and higher during VSM relaxation (p<0.05). The elastic index variability was lower during anesthesia and VSM relaxation and higher during VSM activation. The different behavior of arterial wall viscoelasticity suggests that intrinsic mechanisms related with vascular tone and vasomotion might be involved in the oscillatory pattern of the arterial wall.
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动脉壁直径和粘弹性变异性
本研究的目的是评估和表征动脉直径和动脉壁粘弹性变异性。在7只羊身上进行了一项动物研究。同时测量心电图、动脉内径和压力波形。考虑了四种不同的血流动力学条件:1)麻醉下,2)意识稳态,3)血管平滑肌(VSM)激活,4)血管平滑肌松弛。为了估计粘弹性指标,采用了系统建模识别方法。采用带外源输入的线性自回归模型(ARX)对单拍压力-直径数据进行评估。根据所识别的ARX模型推导出弹性和粘性指标。在时间和频率上进行动脉压、动脉直径、心率和粘弹性指标的变异性分析。控制组收缩压、动脉内径振荡与心率在各频带表现出相似的规律,而壁粘度变异性与这些参数不匹配(p<0.05)。与对照组相比,麻醉时动脉直径变异性较低,VSM松弛时动脉直径变异性较高(p<0.05)。弹性指数变异性在麻醉和VSM松弛时较低,在VSM激活时较高。动脉壁粘弹性的不同表现表明,与血管张力和血管舒缩相关的内在机制可能参与了动脉壁的振荡模式。
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