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总压力反射弧的非线性识别:慢性高血压模型

Nonlinear identification of the total baroreflex arc: chronic hypertension model.

作者信息

Moslehpour Mohsen, Kawada Toru, Sunagawa Kenji, Sugimachi Masaru, Mukkamala Ramakrishna

机构信息

Department of Electrical and Computer Engineering, Michigan State University, East Lansing, Michigan;

Department of Cardiovascular Dynamics, National Cerebral and Cardiovascular Center, Osaka, Japan; and.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2016 May 1;310(9):R819-27. doi: 10.1152/ajpregu.00424.2015. Epub 2016 Jan 20.

Abstract

The total baroreflex arc is the open-loop system relating carotid sinus pressure (CSP) to arterial pressure (AP). Its linear dynamic functioning has been shown to be preserved in spontaneously hypertensive rats (SHR). However, the system is known to exhibit nonlinear dynamic behaviors. The aim of this study was to establish nonlinear dynamic models of the total arc (and its subsystems) in hypertensive rats and to compare these models with previously published models for normotensive rats. Hypertensive rats were studied under anesthesia. The vagal and aortic depressor nerves were sectioned. The carotid sinus regions were isolated and attached to a servo-controlled piston pump. AP and sympathetic nerve activity were measured while CSP was controlled via the pump using Gaussian white noise stimulation. Second-order, nonlinear dynamics models were developed by application of nonparametric system identification to a portion of the measurements. The models of the total arc predicted AP 21-43% better (P < 0.005) than conventional linear dynamic models in response to a new portion of the CSP measurement. The linear and nonlinear terms of these validated models were compared with the corresponding terms of an analogous model for normotensive rats. The nonlinear gains for the hypertensive rats were significantly larger than those for the normotensive rats [-0.38 ± 0.04 (unitless) vs. -0.22 ± 0.03, P < 0.01], whereas the linear gains were similar. Hence, nonlinear dynamic functioning of the sympathetically mediated total arc may enhance baroreflex buffering of AP increases more in SHR than normotensive rats.

摘要

总压力反射弧是将颈动脉窦压力(CSP)与动脉压(AP)联系起来的开环系统。其线性动态功能已被证明在自发性高血压大鼠(SHR)中得以保留。然而,已知该系统会表现出非线性动态行为。本研究的目的是建立高血压大鼠总压力反射弧(及其子系统)的非线性动态模型,并将这些模型与先前发表的正常血压大鼠模型进行比较。在麻醉状态下对高血压大鼠进行研究。切断迷走神经和主动脉减压神经。分离颈动脉窦区域并连接到伺服控制的活塞泵。在通过泵使用高斯白噪声刺激控制CSP的同时,测量AP和交感神经活动。通过将非参数系统识别应用于部分测量数据,建立了二阶非线性动力学模型。在响应CSP测量的新部分时,总压力反射弧模型预测AP的效果比传统线性动态模型好21%-43%(P<0.005)。将这些验证模型的线性和非线性项与正常血压大鼠类似模型的相应项进行比较。高血压大鼠的非线性增益明显大于正常血压大鼠[-0.38±0.04(无量纲)对-0.22±0.03,P<0.01],而线性增益相似。因此,交感神经介导的总压力反射弧的非线性动态功能可能使SHR比正常血压大鼠更能增强对AP升高的压力反射缓冲。

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