[Hemodynamic control by optimization of the cardiac pump]

Transport of energy appears as the ultimate finality of the force convection cardiovascular system. Blood pressure cardiac output and vascular resistances are the three major components of the circulatory system. Among them, blood pressure is regarded as the regulated parameter whose control value is the best adapted parameter, to each kind of activity, neurogenic mechanisms. The authors, considering the physiological variations of blood pressure during increasing energetic loads imposed on the organism, propose a new control function: optimization of cardiac mechanical power necessary to assure convection of the energy needed by the organism. Blood pressure is no more regarded as a constant. Simultaneous changes in cardiac output and blood pressure are both significant, adjusted to realize energetic minimisation of the cardiac pump. This cardiovascular regulation is described by a system of equations whose resolution leads to results in good accordance with physiological data.