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动脉风箱参数估计:一种新的时域方法。

Arterial windkessel parameter estimation: a new time-domain method.

作者信息

Shim Y, Pasipoularides A, Straley C A, Hampton T G, Soto P F, Owen C H, Davis J W, Glower D D

机构信息

Department of Biomedical Engineering, Duke University, Durham, NC 27706.

出版信息

Ann Biomed Eng. 1994 Jan-Feb;22(1):66-77. doi: 10.1007/BF02368223.

Abstract

We developed and validated a new, more accurate, and easily applied method for calculating the parameters of the three-element Windkessel to quantitate arterial properties and to investigate ventriculoarterial coupling. This method is based on integrating the governing differential equation of the three-element Windkessel and solving for arterial compliance. It accounts for the interaction between characteristic impedance and compliance, an important phenomenon that has been ignored by previously implemented methods. The new integral method was compared with four previously published methods as well as a new independent linear least-squares analysis, using ascending aortic micromanometric and volumetric flow measurements from eight dogs. The parameters calculated by the new integral method were found to be significantly different from those obtained by the previous methods but did not differ significantly from maximum likelihood estimators obtained by a linear least-squares approach. To assess the accuracy of parameter estimation, pressure and flow waveforms were reconstructed in the time domain by numerically solving the governing differential equation of the three-element Windkessel model. Standard deviations of reconstructed waveforms from the experimental ensemble-averaged waveforms, which solely reflect the relative accuracy of the Windkessel parameters given by the various methods, were calculated. The new integral method invariably yielded the smallest error. These results demonstrate the improved accuracy of our new integral method in estimating arterial parameters of the three-element Windkessel.

摘要

我们开发并验证了一种新的、更准确且易于应用的方法,用于计算三元Windkessel模型的参数,以量化动脉特性并研究心室动脉耦合。该方法基于对三元Windkessel模型的控制微分方程进行积分,并求解动脉顺应性。它考虑了特征阻抗和顺应性之间的相互作用,这一重要现象在以前的方法中被忽略了。使用八只狗的升主动脉微测压和容积流量测量数据,将新的积分方法与四种先前发表的方法以及一种新的独立线性最小二乘法进行了比较。发现新积分方法计算得到的参数与先前方法得到的参数有显著差异,但与线性最小二乘法获得的最大似然估计值没有显著差异。为了评估参数估计的准确性,通过数值求解三元Windkessel模型的控制微分方程,在时域中重建了压力和流量波形。计算了从实验总体平均波形重建的波形的标准差,它仅反映了各种方法给出的Windkessel参数的相对准确性。新的积分方法总是产生最小的误差。这些结果证明了我们新的积分方法在估计三元Windkessel模型动脉参数方面的准确性提高。

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