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在全人工心脏的1/R控制中,与压力感受性反射血管系统特征相关的合适控制时间常数。

Appropriate control time constant in relation to characteristics of the baroreflex vascular system in 1/R control of the total artificial heart.

作者信息

Mizuta Sora, Saito Itsuro, Isoyama Takashi, Hara Shintaro, Yurimoto Terumi, Li Xinyang, Murakami Haruka, Ono Toshiya, Mabuchi Kunihiko, Abe Yusuke

机构信息

Department of Biomedical Engineering, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

Department of Information Physics and Computing, Graduate School of Information Science and Technology, The University of Tokyo, Tokyo, Japan.

出版信息

J Artif Organs. 2017 Sep;20(3):200-205. doi: 10.1007/s10047-017-0965-6. Epub 2017 May 17.

Abstract

1/R control is a physiological control method of the total artificial heart (TAH) with which long-term survival was obtained with animal experiments. However, 1/R control occasionally diverged in the undulation pump TAH (UPTAH) animal experiment. To improve the control stability of the 1/R control, appropriate control time constant in relation to characteristics of the baroreflex vascular system was investigated with frequency analysis and numerical simulation. In the frequency analysis, data of five goats in which the UPTAH was implanted were analyzed with first Fourier transform technique to examine the vasomotion frequency. The numerical simulation was carried out repeatedly changing baroreflex parameters and control time constant using the elements-expanded Windkessel model. Results of the frequency analysis showed that the 1/R control tended to diverge when very low frequency band that was an indication of the vasomotion frequency was relative high. In numerical simulation, divergence of the 1/R control could be reproduced and the boundary curves between the divergence and convergence of the 1/R control varied depending on the control time constant. These results suggested that the 1/R control tended to be unstable when the TAH recipient had high reflex speed in the baroreflex vascular system. Therefore, the control time constant should be adjusted appropriately with the individual vasomotion frequency.

摘要

1/R 控制是全人工心脏(TAH)的一种生理控制方法,通过动物实验已实现长期存活。然而,在波动泵全人工心脏(UPTAH)动物实验中,1/R 控制偶尔会出现发散。为提高 1/R 控制的稳定性,通过频率分析和数值模拟研究了与压力感受性反射血管系统特性相关的合适控制时间常数。在频率分析中,采用一阶傅里叶变换技术分析了 5 只植入 UPTAH 的山羊的数据,以检测血管运动频率。使用元件扩展 Windkessel 模型,反复改变压力感受性反射参数和控制时间常数进行数值模拟。频率分析结果表明,当作为血管运动频率指标的极低频带相对较高时,1/R 控制往往会发散。在数值模拟中,可以再现 1/R 控制的发散,并且 1/R 控制发散与收敛之间的边界曲线会因控制时间常数而异。这些结果表明,当 TAH 接受者在压力感受性反射血管系统中具有较高的反射速度时,1/R 控制往往不稳定。因此,应根据个体血管运动频率适当调整控制时间常数。

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