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Published on: December 10, 2014
The role of the autonomic nervous system in hypertension: a bond graph model study
Shuzhen Chen1, Shaowen Zhang, Yuexian Gong
1Department of Biomedical Engineering, Zhejiang University (Yuquan Campus), Zheda Road 38, 310027 Hangzhou, People's Republic of China.
Insights
This study developed a cardiovascular model to understand the autonomic nervous system's (ANS) role in hypertension. The model shows impaired ANS worsens hypertension, but intact ANS offers protection against blood pressure spikes.
Area of Science:
- Cardiovascular Physiology
- Systems Biology
- Computational Medicine
Background:
- Hypertension involves complex cardiovascular regulation.
- The autonomic nervous system (ANS) significantly influences blood pressure.
- Understanding ANS regulation is crucial for managing hypertension.
Purpose of the Study:
- To develop a bond graph model of the cardiovascular system incorporating autonomic nervous regulation.
- To investigate the role of the ANS in hypertension and its impact on cardiovascular parameters.
- To simulate the effects of impaired and absent ANS regulation on blood pressure and cardiac structure.
Main Methods:
- Developed a detailed bond graph model of the cardiovascular system, including heart pump and regional circulations.
- Incorporated sympathetic and parasympathetic activities to modulate vascular resistance, heart rate, and ventricular properties.
- Simulated hypertension by elevating the baroreflex set point to represent ANS impairment.
Main Results:
- Hypertension model showed increased systolic/diastolic blood pressure (SBP/DBP) and left ventricular wall thickness (LVWT).
- Absence of ANS regulation led to further significant increases in SBP, DBP, and LVWT.
- Partially impaired ANS (baroreflex set point 97 mmHg) still provided a protective effect against rapid blood pressure rise, which diminished with worsening regulation.
Conclusions:
- The developed model accurately reflects human cardiovascular and baroreflex responses in hypertension.
- The study highlights the critical role of the ANS in blood pressure regulation and cardiac protection.
- The model serves as a valuable tool for studying cardiovascular pathophysiology and ANS regulatory mechanisms.
Abstract:
A bond graph model of the cardiovascular system with embedded autonomic nervous regulation was developed for a better understanding of the role of the autonomic nervous system (ANS) in hypertension. The model is described by a pump model of the heart and a detailed representation of the head and neck, pulmonary, coronary, abdomen and extremity circulation. It responds to sympathetic and parasympathetic activities by modifying systemic peripheral vascular resistance, heart rate, ventricular end-systolic elastance and venous unstressed volumes. The impairment of ANS is represented by an elevation of the baroreflex set point. The simulation results show that, compared with normotensive, in hypertension the systolic and diastolic blood pressure (SBP/DBP) rose from 112/77 mmHg to 144/94 mmHg and the left ventricular wall thickness (LVWT) increased from 10 mm to 12.74 mm. In the case that ANS regulation was absent, both the SBP and DBP further increased by 8 mmHg and the LVWT increased to 13.22 mm. The results also demonstrate that when ANS regulation is not severely damaged, e.g. the baroreflex set point is 97 mmHg, it still has an effect in preventing the rapid rise of blood pressure in hypertension; however, with the worsening of ANS regulation, its protective role weakens. The results agree with human physiological and pathological features in hemodynamic parameters and carotid baroreflex function curves, and indicate the role of ANS in blood pressure regulation and heart protection. In conclusion, the present model may provide a valid approach to study the pathophysiological conditions of the cardiovascular system and the mechanism of ANS regulation.
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