研究心血管系统血流动力学的一种分析方法——单心室系统。

IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL International Journal of Artificial Organs Pub Date : 2023-12-01 Epub Date: 2023-11-10 DOI:10.1177/03913988231208393
Yuxin Zhu, Wanning Ge, Tingting Wu, Liudi Zhang, Polin Hsu
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引用次数: 0

摘要

在心血管系统集总参数模型(LPM)的基础上,提出了一种从理论上推导其血液动力学的分析方法。一旦解出LPM(一系列微分方程),就会立即获得血流动力学。然而,由于心室弹性时变和高阶性,很难解析求解。通过简化LPM,具有连续变化弹性的原始双心室系统变为具有离散弹性的单心室系统,该系统在收缩或舒张阶段保持恒定。因此,原始的时变高阶系统在每个阶段都变成了时不变的一阶系统。从简化系统的解析解出发,导出了一组代数方程。然后从代数方程的解中得到血流动力学。代数方程的性质是微分方程的积分形式。建立了方程和PV回路之间的联系。所有这些方程都是在用离散弹性代替连续弹性的理想化基础上推导出来的。然而,对于连续弹性的情况,仍然存在可以直接从体积守恒导出的代数方程。作为初步应用,该方法被用于推导左心衰竭(LHF)的血流动力学。结果表明,LHF的理论血流动力学与模拟结果一致。该分析方法可推广用于研究双心室系统。最后一部分介绍了一个开发更通用框架的程序。
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An analytic method to investigate hemodynamics of the cardiovascular system - single ventricular system.

Based on the lumped parameter model (LPM) of the cardiovascular system, an analytic method is developed to derive its hemodynamics theoretically. As soon as the LPM (a series of differential equations) is solved, the hemodynamics would be obtained immediately. However, because of time-varying ventricular elastance and high order, it is difficult to solve analytically. Through simplifying the LPM, the original biventricular system with continuously varying elastance becomes a single ventricular system with discrete elastance which keeps constant during the systolic or diastolic phase. As a consequence, the original time-varying and high-order system becomes a time-invariant and first-order system during each phase. From the analytic solutions of the simplified system, a set of algebraic equations is carried out. Then the hemodynamics are obtained from the solutions of the algebraic equations. The nature of the algebraic equations is an integral form of the differential equations. A connection between the equations and PV loop is established. All of these equations are deduced based on the idealization of replacing the continuous elastance with the discrete elastance. However, there exist algebraic equations, that can be derived directly from volume conservation, still hold for the case of continuous elastance. As a preliminary application, the method is utilized to deduce the hemodynamics of left heart failure (LHF). The results show that the theoretical hemodynamics of LHF are coincident with simulated results. The analytic method can be generalized to investigate biventricular system. A program for developing a more general framework is presented in the last part.

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来源期刊
International Journal of Artificial Organs
International Journal of Artificial Organs 医学-工程:生物医学
CiteScore
3.40
自引率
5.90%
发文量
92
审稿时长
3 months
期刊介绍: The International Journal of Artificial Organs (IJAO) publishes peer-reviewed research and clinical, experimental and theoretical, contributions to the field of artificial, bioartificial and tissue-engineered organs. The mission of the IJAO is to foster the development and optimization of artificial, bioartificial and tissue-engineered organs, for implantation or use in procedures, to treat functional deficits of all human tissues and organs.
期刊最新文献
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