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Published on: November 28, 2018
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.
Abstract:
We investigated how parameters describing the heart and the arterial system contribute to the systolic and diastolic pressures (Ps and Pd, respectively) and stroke volume (SV). We have described the heart by the varying-elastance model with six parameters and the systemic arterial tree by the three-element windkessel model, leading to a total of nine parameters. Application of dimensional analysis led to a total of six dimensionless parameters describing dimensionless Ps and Pd, i.e., pressures with respect to venous pressure (Ps/Pv and Pd/Pv). SV was normalized with respect to unloaded ventricular volume (Vd). Sensitivity analysis showed that Ps/Pv, Pd/Pv, and SV/Vd could be accurately described by four, three, and three dimensionless parameters, respectively. With this limited number of parameters, it was then possible to obtain empirical analytical expressions for Ps/Pv, Pd/Pv, and SV/Vd. The analytic predictions were tested against the model values and found to be as follows: Ps predicted = (1.0007 +/- 0.0062) Ps, r = 0.987; Pd predicted = (1.016 +/- 0.0085) Pd, r = 0.992; and SV predicted = (0.9987 +/- 0.0028) SV, r = 0.996. We conclude that aortic Ps, Pd, and SV can be accurately described by a limited number of parameters and that, for any condition of the heart and the arterial system, Ps, Pd, and SV can be presented in analytical form.
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