Pulmonary arterial compliance at rest and exercise in normal humans

1990 ◽  
Vol 258 (6) ◽  
pp. H1823-H1828 ◽  
Author(s):  
D. M. Slife ◽  
R. D. Latham ◽  
P. Sipkema ◽  
N. Westerhof

We evaluated the feasibility of determining pulmonary arterial compliance (Cp) by a parameter estimation procedure based on the three-element windkessel model. Eight normal patients studied with multisensor micromanometry technology had simultaneous rest and exercise pulmonary artery pressures (PAP) and flows recorded. These were submitted to the model and independent methods to determine Cp, pulmonary characteristic impedance (Zc), and pulmonary vascular resistance (PVR). Significant changes in heart rate, PAP, and stroke volume (P less than 0.05) occurred with exercise. In comparing rest and exercise Zc and PVR values determined by the model and independent methods, and in comparing each method for these values, there was no significant difference. Model-derived and independently derived estimates of Cp were significantly different at rest (P less than 0.04) and exercise (P less than 0.001). There was no significant difference between rest and exercise values of Cp by either method. The model estimates of PVR at rest (64 +/- 11 dyn.s.cm-5) and exercise (41 +/- 7 dyn.s.cm-5) (P = 0.06) and the model Zc value at rest (22 +/- 3 dyn.s.cm5) were appropriate. The model Cp values at rest (0.22 +/- 0.05 ml.mmHg-1.kg-1) correlated with previously reported normalized values in other species. This study reports the successful use of a parameter estimation procedure based on the three-element windkessel model to describe pulmonary artery compliance in normal humans.

1994 ◽  
Vol 76 (3) ◽  
pp. 1378-1383 ◽  
Author(s):  
S. A. Slordahl ◽  
H. F. Kuecherer ◽  
J. E. Solbakken ◽  
H. Piene ◽  
B. A. Angelsen ◽  
...  

The regurgitant volume and regurgitant orifice area as well as total peripheral resistance and arterial compliance were estimated in a cardiovascular hydromechanical simulator and in 10 patients with aortic regurgitation. A parameter estimation procedure based on a simple model of the cardiovascular system, Doppler measurements of the regurgitant jet, aortic systolic flow, and systolic and diastolic blood pressures was used. In the cardiovascular simulator the estimated regurgitant orifice area was compared with the size of a hole in the disk of a mechanical aortic valve. In the patients the regurgitant fraction was compared with semiquantitative grading from echocardiography routinely performed in our laboratory. In the hydromechanical simulator, the estimated regurgitant orifice area of 26.5 +/- 3.5 (SD) mm2 (n = 9) was not different from the true value of 24 mm2. In the patients there was a fair relationship between the estimated regurgitant fraction and the semiquantitative grading. The estimated regurgitant orifice areas varied between 1.6 and 31.2 mm2. The estimated mean values of total peripheral resistance and arterial compliance were 1.67 +/- 0.55 mmHg.s.ml-1 and 1.30 +/- 0.42 ml/mmHg, respectively.


2006 ◽  
Vol 291 (4) ◽  
pp. H1731-H1737 ◽  
Author(s):  
Jan-Willem Lankhaar ◽  
Nico Westerhof ◽  
Theo J. C. Faes ◽  
Koen M. J. Marques ◽  
J. Tim Marcus ◽  
...  

Right ventricular (RV) afterload is commonly defined as pulmonary vascular resistance, but this does not reflect the afterload to pulsatile flow. The purpose of this study was to quantify RV afterload more completely in patients with and without pulmonary hypertension (PH) using a three-element windkessel model. The model consists of peripheral resistance ( R), pulmonary arterial compliance ( C), and characteristic impedance ( Z). Using pulmonary artery pressure from right-heart catheterization and pulmonary artery flow from MRI velocity quantification, we estimated the windkessel parameters in patients with chronic thromboembolic PH (CTEPH; n = 10) and idiopathic pulmonary arterial hypertension (IPAH; n = 9). Patients suspected of PH but in whom PH was not found served as controls (NONPH; n = 10). R and Z were significantly lower and C significantly higher in the NONPH group than in both the CTEPH and IPAH groups ( P < 0.001). R and Z were significantly lower in the CTEPH group than in the IPAH group ( P < 0.05). The parameters R and C of all patients obeyed the relationship C = 0.75/ R ( R2 = 0.77), equivalent to a similar RC time in all patients. Mean pulmonary artery pressure P and C fitted well to C = 69.7/P (i.e., similar pressure dependence in all patients). Our results show that differences in RV afterload among groups with different forms of PH can be quantified with a windkessel model. Furthermore, the data suggest that the RC time and the elastic properties of the large pulmonary arteries remain unchanged in PH.


Author(s):  
Galina Vasil’evna Troshina ◽  
Alexander Aleksandrovich Voevoda

It was suggested to use the system model working in real time for an iterative method of the parameter estimation. It gives the chance to select a suitable input signal, and also to carry out the setup of the object parameters. The object modeling for a case when the system isn't affected by the measurement noises, and also for a case when an object is under the gaussian noise was executed in the MatLab environment. The superposition of two meanders with different periods and single amplitude is used as an input signal. The model represents the three-layer structure in the MatLab environment. On the most upper layer there are units corresponding to the simulation of an input signal, directly the object, the unit of the noise simulation and the unit for the parameter estimation. The second and the third layers correspond to the simulation of the iterative method of the least squares. The diagrams of the input and the output signals in the absence of noise and in the presence of noise are shown. The results of parameter estimation of a static object are given. According to the results of modeling, the algorithm works well even in the presence of significant measurement noise. To verify the correctness of the work of an algorithm the auxiliary computations have been performed and the diagrams of the gain behavior amount which is used in the parameter estimation procedure have been constructed. The entry conditions which are necessary for the work of an iterative method of the least squares are specified. The understanding of this algorithm functioning principles is a basis for its subsequent use for the parameter estimation of the multi-channel dynamic objects.


Polymers ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 343 ◽  
Author(s):  
Gabriela Dudek ◽  
Przemysław Borys

A procedure to estimate the diffusion coefficient in solution–diffusion models of hydrophilic membranes used in pervaporation-based purification experiments is presented. The model is based on a series solution of the general permeation problem. It considers a membrane that can be filled with water or with the feed solution before the measurement. Furthermore, the length of the tubing between the permeation cell and the place of cold traps is also addressed. To illustrate the parameter estimation procedure, we have chosen the data for the separation of water and ethanol by chitosan membranes. It is shown that the diffusion coefficient can be estimated effectively from the time course of the transported mass and by the analysis of certain well defined time lags of the permeation curve.


Author(s):  
Abdul Haseeb Wani ◽  
Yassar Shiekh ◽  
Najeeb Tallal Ahangar

<p class="abstract"><strong>Background:</strong> The gold standard for pulmonary artery pressure measurement is right heart catheterization but its invasive nature precludes its routine use. Main pulmonary arterial trunk calibre increase is a strong indicator of underlying pulmonary arterial hypertension. MDCT can accurately measure the diameter of main pulmonary artery. The objective of the study was to establish the normative values of main pulmonary artery caliber using contrast enhanced CT and try to ascertain any significant difference in main pulmonary artery calibers between two genders and correlation of age and main pulmonary artery diameter.</p><p class="abstract"><strong>Methods:</strong> Contrast enhanced CT images of 462 subjects were analysed on a PACS workstation monitor and widest diameter perpendicular to long axis of the main pulmonary artery as seen on reformatted axial image was measured with electronic caliper tool at the level of the main pulmonary artery bifurcation.  </p><p class="abstract"><strong>Results:</strong> The mean main pulmonary artery diameter in females was 22.54±2.19 mm and 23.34±3.06 mm in males. The mean pulmonary artery diameter in males was larger than females with statistically significant difference seen (p&lt;0.05). The correlation coefficient between age of whole sample and their mean main pulmonary artery was found to be 0.1006 with no statistically significant difference.</p><p class="abstract"><strong>Conclusions:</strong> There is a statistically significant difference in the mean main pulmonary artery calibre between males and females with no strong correlation between the age and mean main pulmonary artery calibre. Further studies are warranted to find the complex interaction between main pulmonary artery diameter and sex, age and body mass index.</p>


Author(s):  
Luca Alberti

La Functional Urban Area (FUA) di Milano è un’area densamente popolata (2.254.263 abitanti) dove l’approvvigionamento idrico è garantito esclusivamente mediante prelievi idrici sotterranei. Per questa ragione la protezione della qualità delle falde rientra tra le priorità delle politiche ambientali di Regione Lombardia. Recentemente è stato avviato un programma di studi ed interventi aventi lo scopo d’individuare i principali plumes di contaminazione da solventi clorurati distinguendone l’impatto da quello legato all’inquinamento diffuso. In questo articolo si presenta il modello di flusso sviluppato per il settore NE della FUA di Milano, settore utilizzato quale area pilota per sviluppare e testare una nuova metodologia che combina statistica e modellistica al fine di distinguere il contributo delle fonti di contaminazione puntuale rispetto a quelle diffuse.


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