반사 지점의 개수와 조건이 맥파에 미치는 영향
Effect of Number and Condition of Reflection Site on Pulse Wave
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
To develop cardiovascular simulator capable of implementing pulse waves similar to the human body, accurate information about reflection wave is required. However, the conclusion is still not clear and various discussions are underway. In this study, the pulse wave velocity of the tube used in the experiment was first determined by measuring the pressure waves at two points in a single tube system with the experimental device to implement the pulse wave transmission of blood vessels, and the superposition time and characteristics of the reflection wave were confirmed. After that, an air chamber was set at the reflection site, and the effect of the change of air volume on the reflection wave was investigated. Finally, the effect of the number of branches connected to a single tube on the reflection wave was investigated. The superposition time of the reflection wave can be controlled by the air volume of the air chamber, and the magnitude of the reflection wave is influenced by the number of reflection sites that generate the reflection wave. The results of this study may be of practical assistance to simulator researchers who want to implement pulse wave similar to clinical data. It is expected that the more results similar to clinical are provided, the greater the scope of the simulator's contribution to clinical cardiovascular research.
Abstract
To develop cardiovascular simulator capable of implementing pulse waves similar to the human body, accurate information about reflection wave is required. However, the conclusion is still not clear and various discussions are underway. In this study, the pulse wave velocity of the tube used in the experiment was first determined by measuring the pressure waves at two points in a single tube system with the experimental device to implement the pulse wave transmission of blood vessels, and the superposition time and characteristics of the reflection wave were confirmed. After that, an air chamber was set at the reflection site, and the effect of the change of air volume on the reflection wave was investigated. Finally, the effect of the number of branches connected to a single tube on the reflection wave was investigated. The superposition time of the reflection wave can be controlled by the air volume of the air chamber, and the magnitude of the reflection wave is influenced by the number of reflection sites that generate the reflection wave. The results of this study may be of practical assistance to simulator researchers who want to implement pulse wave similar to clinical data. It is expected that the more results similar to clinical are provided, the greater the scope of the simulator's contribution to clinical cardiovascular research.
참고문헌 (29)
- Millasseau SC, "Determination of age-related increases in large artery stiffness by digital pulse contour analysis", Clinical Science(London), 103, pp.371~377 (2002)
- McEniery CM, "Normal Vascular Aging : Differential Effects on Wave Reflection and Aortic Pulse Wave Velocity", JACC, 46(9), pp.1753~1760 (2005)
- Murgo JP, "Aortic input impedance in normal man : relationship to pressure wave forms", Circulation, 62, pp.105~116 (1980)
- Latham RD, "Regional wave travel and reflections along the human aorta : a study with six simultaneous micromanometric pressures", Circulation, 72, pp.1257~1269 (1985)
- O'Rourke MF, "Pressure and flow waves in systemic arteries and the anatomical design of the arterial system", Journal of Applied Physiology, 23, pp.139~149 (1967)
- GRASHEY H, "Die Wellenbewegung elastischer Riihren und der Arterienpuls des Menschen" (1881), Vogel Verlag
- Saito M, "Noninvasive assessment of arterial stiffness by pulse wave analysis", IEEE, 59(11), pp.2411~2419 (2012)
- Westerhof BE, "Location of a Reflection Site Is Elusive Consequences for the Calculation of Aortic Pulse Wave Velocity", Hypertension, 52, pp.478~483 (2008)
- O’Rourke MF, "Pulsatile flow and pressure in human systemic arteries. Studies in man and in a multi branched model of the human systemic arterial tree", Circ Res, 46, pp.363~372 (1980)
- Stergiopulos N, "Computer simulation of arterial flow with applications to arterial and aortic stenoses", J Biomech, 25, pp.1477~1488 (1992)
- Westerhof BE, "Uniform tube models with single reflection site do not explain aortic wave travel and pressure wave shape", Physics and Engineering in Medicine, pp.102609~ (2018)
- Baruch MC, "Validation of the pulse decomposition analysis algorithm using central arterial blood pressure", BioMedical Engineering Online, 13, pp.96~ (2014)
- Couceiro R, "Assessment of cardiovascular function from multi-Gaussian fitting of a finger photoplethysmogram", Physiol. Meas., 36, pp.1801~1825 (2015)
- Avolio AP, "Multi-branched model of the human arterial system", Med. & Biol. Eng. & Comput., 18(6), pp.709~718 (1980)
- Polanczyk A, "Artificial Circulatory Model for Analysis of Human and Artificial Vessels", Appl. Sci., 8(7), pp.1017~ (2018)
- Ferrari G, "A Physical Model of the Human Systemic Arterial Tree", The International Journal of Artificial Organs, 23(9), pp.647~657 (2000)
- Westerhof N, "Analog studies of the human systemic arterial tree", J Biomech, 2, pp.121~143 (1969)
- McDonald DA, "Regional pulse-wave velocity in the arterial tree", J. Appl. Physiol., 24(1), pp.73~78 (1968)
- Palmiero P, "Unexpensive Method to Assess Pulse Wave Velocity by Echocardiography: An Early Marker of Subclinical Atherosclerosis: A Review", Cardiol Cases Syst Rev, 1(1), pp.1~4 (2019)
- Lazović B, "The mathematical model of the radial artery blood pressure waveform through monitoring of the age-related changes", Wave Motion, 56, pp.14~21 (2015)
- Karamanoglu M, "Pressure wave propagation in a multibranched model of the human upper limb", American Physiological Society, 269(4), pp.H1363~H1369 (1995)
- Segers P, "Towards a consensus on the understanding and analysis of the pulse waveform: Results from the 2016 Workshop on Arterial Hemodynamics: Past, present and future", PMC, 18, pp.75~80 (2017)
- Campbell KB, "Pulse reflection sites and effective length of the arterial system", Am J Physiol, 256, pp.H1684~H1689 (1989)
- Saito M, "One-dimensional model for propagation of a pressure wave in a model of the human arterial network : comparison of theoretical and experimental results", J Biomech Eng, 133(12), pp.121005~ (2011)
- Mitchell GF, "Changes in arterial stiffness and wave reflection with advancing age in healthy men and women : the Framingham Heart Study", Hypertension, 43, pp.1239~1245 (2004)
- Davies JE, "Attenuation of wave reflection by wave entrapment creates a"horizon effect"in the human aorta", Hypertension, 60, pp.778~785 (2012)
- Taylor CE, "Mock Circulatory Loop Compliance Chamber Employing a Novel Real-Time Control Process", J Med Device, 6(4), pp.0450031~0450038 (2012)
- Woodruff SJ, "Compact compliance chamber design for the study of cardiac performance in microgravity", ASAIO J, 43(4), pp.316~320 (1997)
- Westerhof N, "Snapshots of Hemodynamics", pp.173~181 (2004), Springer
