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Arterial Pressure and Flow Wave Analysis Using Time-Domain 1-D Hemodynamics

机译:使用时域一维血流动力学的动脉压和流波分析

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摘要

We reviewed existing methods for analyzing, in the time domain, physical mechanisms underlying the patterns of blood pressure and flow waveforms in the arterial system. These are wave intensity analysis and separations into several types of waveforms: (i) forward- and backward-traveling, (ii) peripheral and conduit, or (iii) reservoir and excess. We assessed the physical information provided by each method and showed how to combine existing methods in order to quantify contributions to numerically generated waveforms from previous cardiac cycles and from specific regions and properties of the numerical domain: the aortic root, arterial bifurcations and tapered vessels, peripheral reflection sites, and the Windkessel function of the aorta. We illustrated our results with numerical examples involving generalized arterial stiffening in a distributed one-dimensional model or localized changes in the model parameters due to a femoral stenosis, carotid stent or abdominal aortic aneurysm.Electronic supplementary materialThe online version of this article (doi:10.1007/s10439-014-1087-4) contains supplementary material, which is available to authorized users.
机译:我们回顾了在时域中分析动脉系统中血压和流量波形模式背后的物理机制的现有方法。这些是波强度分析并将其分为几种类型的波形:(i)向前和向后移动,(ii)外围和管道,或(iii)储层和多余部分。我们评估了每种方法提供的物理信息,并展示了如何结合现有方法,以便量化对先前心动周期以及数字域的特定区域和属性(主动脉根,动脉分叉和锥形血管,周围的反射部位,以及主动脉的Windkessel功能。我们用数值示例说明了我们的结果,这些示例涉及在分布式一维模型中普遍的动脉硬化或由于股骨狭窄,颈动脉支架或腹主动脉瘤引起的模型参数的局部变化。电子补充材料本文的在线版本(doi:10.1007 / s10439-014-1087-4)包含补充材料,授权用户可以使用。

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