Self D A, Ewert D L, Swope R D, Crisman R P, Latham R D
Laboratory for Aerospace Cardiovascular Research, Armstrong Laboratory, Brooks Air Force Base, TX 78235-5301.
Aviat Space Environ Med. 1994 May;65(5):396-403.
This study focused on the problem of describing changes in total peripheral resistance (TPR) and systemic arterial compliance (SAC) under time-varying +Gz acceleration stress. Nonsteady-state measures of peripheral resistance can only be derived when arterial compliance is taken into account. We have developed a successful analytical model to track simultaneous changes in peripheral resistance and systemic arterial compliance during non-stationary periods of increased gravitational load on a beat-to-beat basis. Using a 2-element windkessel model, aortic flow into an input node was defined as equal to the sum of a capacitative (Cao) and a resistive (Rarterial) flow leaving the node such that: Iao = Caod(Pao - Ppleural)/dt + (Pao - Pra)/Rarterial We made the assumption that Cao and Rarterial were constant over a cardiac cycle, and divided the pressure and flow signals for each beat of a record into two different intervals, integrating this equation over each, giving two equations in two unknowns. Cao and Rarterial were then obtained from the matrix solutions. To test the model, we used recordings from chronically instrumented baboons subjected to a 10 s rapid onset +Gz (head-to-foot) stress. Beat-to-beat calculations of peripheral resistance and systemic arterial compliance from our model were compared to values obtained from a previously reported 3-element wind-kessel model.
本研究聚焦于描述时变+Gz加速度应激下总外周阻力(TPR)和全身动脉顺应性(SAC)变化的问题。只有在考虑动脉顺应性时,才能得出外周阻力的非稳态测量值。我们已经开发出一个成功的分析模型,用于逐搏追踪重力负荷增加的非平稳期外周阻力和全身动脉顺应性的同步变化。使用二元件风箱模型,进入输入节点的主动脉血流被定义为等于离开该节点的电容性(Cao)血流和电阻性(Rarterial)血流之和,即:Iao = Caod(Pao - Ppleural)/dt + (Pao - Pra)/Rarterial 我们假设在一个心动周期内Cao和Rarterial是恒定的,并将记录中每个搏动的压力和血流信号分为两个不同的间隔,对每个间隔对该方程进行积分,得到两个包含两个未知数的方程。然后从矩阵解中获得Cao和Rarterial。为了测试该模型,我们使用了来自长期植入仪器的狒狒在10秒快速 onset +Gz(头至脚)应激下的记录。将我们模型中逐搏计算的外周阻力和全身动脉顺应性值与先前报道的三元件风箱模型获得的值进行比较。