Determinants of stroke volume and systolic and diastolic aortic pressure

N Stergiopulos1, J J Meister, N Westerhof

  • 1Biomedical Engineering Laboratory, Swiss Federal Institute of Technology, Lausanne, Switzerland.

Insights

This study simplifies cardiovascular modeling by identifying key parameters that accurately predict systolic and diastolic pressures and stroke volume, enabling analytical expressions for these vital hemodynamic metrics.

Area of Science:

  • Cardiovascular physiology
  • Biomedical engineering
  • Mathematical modeling

Background:

  • Understanding the determinants of systolic and diastolic pressures and stroke volume is crucial for diagnosing and managing cardiovascular conditions.
  • Existing cardiovascular models often involve numerous parameters, complicating analysis and prediction.

Purpose of the Study:

  • To identify a minimal set of dimensionless parameters that accurately describe systolic pressure (Ps), diastolic pressure (Pd), and stroke volume (SV).
  • To derive empirical analytical expressions for these hemodynamic parameters based on the identified dimensionless variables.

Main Methods:

  • Utilized a varying-elastance model for the heart and a three-element windkessel model for the arterial system.
  • Applied dimensional analysis to reduce the number of governing parameters.
  • Performed sensitivity analysis to determine the most influential dimensionless parameters.

Main Results:

  • Identified six dimensionless parameters that describe dimensionless Ps, Pd, and SV.
  • Found that Ps/Pv, Pd/Pv, and SV/Vd can be accurately represented by four, three, and three dimensionless parameters, respectively.
  • Developed and validated empirical analytical expressions for Ps/Pv, Pd/Pv, and SV/Vd with high correlation to model values (r > 0.987).

Conclusions:

  • Aortic systolic and diastolic pressures and stroke volume can be accurately predicted using a limited set of dimensionless parameters.
  • The derived analytical expressions provide a simplified yet accurate method for representing cardiovascular function across various conditions.

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