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心动周期中左心室与主动脉之间时变耦合的建模。

Modeling of time-variant coupling between left ventricle and aorta in cardiac cycle.

作者信息

Tözeren A, Chien S

出版信息

Am J Physiol. 1985 Sep;249(3 Pt 2):H560-9. doi: 10.1152/ajpheart.1985.249.3.H560.

Abstract

An analytical model is developed to study the interaction between the left ventricle and vascular system. Ventricular pressure is expressed as a function of the chamber volume, volumetric strain rate, and the degree of activation. A three-element Wind-kessel model is employed to represent the hydraulic properties of the vascular system. Conditions of interaction between the left ventricle and the vascular system are formulated in mathematical terms. Numerical solutions are obtained for the mechanical events occurring during a cardiac cycle as a function of time. The time variations of aortic pressure and ventricular volume predicted by the model compare well with the experimental results of Sunagawa and co-workers [Am. J. Physiol. 243 (Heart Circ. Physiol. 12): H346-H350, 1982, and Am. J. Physiol. 245 (Heart Circ. Physiol. 14): H773-H780, 1983]. Furthermore, the application of the present model to the experimental data has allowed the derivation of the intrinsic contractility parameters in these experiments. The unique features of this analytical model are that 1) it provides the time-variant pressure and volume curves of the left ventricle in relation to the aorta, 2) it generates information on the effects of heart rate on these hemodynamic parameters, and 3) it allows the derivation of intrinsic contractility parameters from experimental data.

摘要

建立了一个分析模型来研究左心室与血管系统之间的相互作用。心室压力表示为腔室容积、容积应变率和激活程度的函数。采用三元Wind-kessel模型来表示血管系统的水力特性。用数学术语阐述了左心室与血管系统之间的相互作用条件。得到了心动周期中机械事件随时间变化的数值解。该模型预测的主动脉压力和心室容积的时间变化与Sunagawa及其同事的实验结果[《美国生理学杂志》243(心脏循环生理学12):H346 - H350,1982年,以及《美国生理学杂志》245(心脏循环生理学14):H773 - H780,1983年]吻合良好。此外,将本模型应用于实验数据可以推导出这些实验中的内在收缩性参数。这个分析模型的独特之处在于:1)它提供了左心室相对于主动脉的随时间变化的压力和容积曲线;2)它生成了心率对这些血流动力学参数影响的信息;3)它允许从实验数据中推导出内在收缩性参数。

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