Kong A, Bai J, Xi B, Zu P, Zhou X
Department of Electrical Engineering, Tsinghua University, Beijing, China.
Space Med Med Eng (Beijing). 1997 Feb;10(1):54-8.
To describe the relationship between blood volume and the cardiac function mathematically, a computer cardiovascular model, was developed including a systemic circulation, a heart and a pulmonary model and a blood volume feedback control. Simulation results indicate that the chronic heart failure could be compensated by increasing the blood volume to maintain the proper arterial pressure. Deterioration in heart failure causes an increase in blood volume, as well as increases in heart volume and cardiac energy consumption. These results are in agreement with the clinical data and results reported in the literature. The simulation also shows that for a predetermined ventricular contractility, an adequate increase in blood volume will increase the heart volume but decrease the cardiac energy consumption and lead the heart to work in an optimum condition.
为了从数学上描述血容量与心脏功能之间的关系,开发了一种计算机心血管模型,该模型包括体循环、心脏、肺模型以及血容量反馈控制。模拟结果表明,慢性心力衰竭可通过增加血容量来代偿,以维持适当的动脉血压。心力衰竭的恶化会导致血容量增加,同时心脏体积和心脏能量消耗也会增加。这些结果与临床数据以及文献报道的结果一致。模拟还表明,对于预先设定的心室收缩性,血容量的适当增加会增大心脏体积,但会降低心脏能量消耗,并使心脏处于最佳工作状态。