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犬全身动脉总顺应性和主动脉特征阻抗随压力的变化:基于模型的研究

Total systemic arterial compliance and aortic characteristic impedance in the dog as a function of pressure: a model based study.

作者信息

Burattini R, Gnudi G, Westerhof N, Fioretti S

出版信息

Comput Biomed Res. 1987 Apr;20(2):154-65. doi: 10.1016/0010-4809(87)90042-5.

Abstract

Total arterial compliance and aortic characteristic impedance as a function of pressure in the anesthetized closed chest dog (n = 5) were studied. The three-element windkessel (consisting of a peripheral resistance, a total systemic arterial compliance, and an aortic characteristic impedance) was assumed as an arterial model. Aortic pressure was varied by pacing the heart at different rates after the production of atrioventricular block and by administration of Angiotensin and Hydralazine. Model parameters were estimated by two different methods. The first was based on a computerized optimization procedure using all the information contained in the aortic pressure and flow waveforms. The second method used the diastolic decay of aortic pressure to compute total arterial compliance and used the arterial input impedance spectrum to compute aortic characteristic impedance. Total arterial compliance and aortic characteristic impedance changed with pressure. The parameter optimization procedure yielded values of total arterial compliance ranging from 0.20 to 1.4 ml/mmHg and values of aortic characteristic impedance ranging from 0.05 to 0.42 mmHg sec/ml. Values of parameters estimated on the basis of the impedance spectrum and diastolic pressure decay were similar. Compliance values as a function of mean aortic pressure could be fitted with a bell-shaped curve similar to that found from in vitro studies of aortic segments. Characteristic impedance values as a function of mean aortic pressure could be fitted with a parabolic function the minimum of which was found in the range of control to high pressures (90-160 mmHg).

摘要

研究了麻醉开胸犬(n = 5)的总动脉顺应性和主动脉特性阻抗随压力的变化。假定三元件风箱模型(由外周阻力、总全身动脉顺应性和主动脉特性阻抗组成)为动脉模型。在产生房室传导阻滞并给予血管紧张素和肼苯哒嗪后,通过以不同速率起搏心脏来改变主动脉压力。通过两种不同方法估计模型参数。第一种方法基于计算机优化程序,利用主动脉压力和血流波形中包含的所有信息。第二种方法利用主动脉压力的舒张期衰减来计算总动脉顺应性,并利用动脉输入阻抗谱来计算主动脉特性阻抗。总动脉顺应性和主动脉特性阻抗随压力而变化。参数优化程序得出的总动脉顺应性值范围为0.20至1.4 ml/mmHg,主动脉特性阻抗值范围为0.05至0.42 mmHg·sec/ml。基于阻抗谱和舒张压衰减估计的参数值相似。作为平均主动脉压力函数的顺应性值可以用类似于从主动脉节段体外研究中发现的钟形曲线拟合。作为平均主动脉压力函数的特性阻抗值可以用抛物线函数拟合,其最小值出现在对照至高压力范围(90 - 160 mmHg)内。

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