Pressure transfer functions to study ventricular-arterial interaction in systemic and pulmonary circulation

The heart pumps pressure and flow signals with relevant amount of frequency components cushioned along the arterial system. A pressure transfer function approach was designed to evaluate the Ventricular-Arterial Interaction. Two transfer functions were calculated relating ventricular to arterial pressure. A frequency response analysis followed the time-domain adaptation. Additionally, a viscoelastic model was proposed to characterize the arterial wall mechanical behavior, using the elastic (E) and viscous (/spl eta/) moduli. Six merino sheep were instrumented and anesthetized. Pressure measurements were registered in both ventricles, in aorta and in the pulmonary artery. Diameters (sonomicrometry) were measured in both arteries. The frequency transfer function asymptotic negative slope, describing the attenuation within the dynamic range, resulted 5 times greater in aorta (p < 0.05), what presents the systemic as a more selective circuit than the pulmonary. E and /spl eta/ resulted higher (p /spl eta/ 0.05) in aorta than in the pulmonary artery whereas E//spl eta/ was similar. The viscoelastic results might indicate a similar segmental (unit-cell) response in both arteries. The enhanced cushioning ability of the left circuit with respect to the right, might be understood as a more selective vascular filtering system. This filtering performance might be related to the functional length of unit-cell responses along the systemic circulation.

[1]  Juan C. Grignola,et al.  Sincronización de la contracción del ventrículo derecho frente a un aumento agudo de su poscarga. «Izquierdización» del comportamiento mecánico del ventrículo derecho , 2001 .

[2]  W L Maughan,et al.  Left ventricular interaction with arterial load studied in isolated canine ventricle. , 1983, The American journal of physiology.

[3]  R. Armentano,et al.  Arterial wall mechanics in conscious dogs. Assessment of viscous, inertial, and elastic moduli to characterize aortic wall behavior. , 1995, Circulation research.

[4]  A. Cohen-Solal,et al.  Left ventricular‐arterial coupling in systemic hypertension: analysis by means of arterial effective and left ventricular elastances , 1994, Journal of hypertension.

[5]  K. Sagawa,et al.  Optimal Arterial Resistance for the Maximal Stroke Work Studied in Isolated Canine Left Ventricle , 1985, Circulation research.

[6]  S Sasayama,et al.  Ventriculoarterial coupling in normal and failing heart in humans. , 1989, Circulation research.

[7]  R. Burattini,et al.  Effective length of the arterial circulation determined in the dog by aid of a model of the systemic input impedance , 1988, IEEE Transactions on Biomedical Engineering.

[8]  L. Brush,et al.  McDonaldʼs Blood Flow in Arteries , 1991 .

[9]  F. Abel Fourier Analysis of Left Ventricular Performance: Evaluation of Impedance Matching , 1971, Circulation research.

[10]  W C Hunter,et al.  Ventricular stroke work and efficiency both remain nearly optimal despite altered vascular loading. , 1993, The American journal of physiology.

[11]  A. Shoukas,et al.  Load Independence of the Instantaneous Pressure‐Volume Ratio of the Canine Left Ventricle and Effects of Epinephrine and Heart Rate on the Ratio , 1973, Circulation research.

[12]  K Sagawa,et al.  Ventricular efficiency predicted by an analytical model. , 1986, The American journal of physiology.

[13]  L. Gamero,et al.  Identification of Arterial Wall Dynamics in Conscious Dogs , 2001, Experimental physiology.

[14]  R H Cox,et al.  Passive mechanics and connective tissue composition of canine arteries. , 1978, The American journal of physiology.

[15]  W. Laskey,et al.  Right ventricular-pulmonary arterial interactions , 2006, Annals of Biomedical Engineering.