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.

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