Preface

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• 作者：G. Dennler ; A. Jaë ; ger-Waldau ; J. Kroon ; A. Slaoui
• 关键词：Cardiovascular system ; Cardiac model ; Parameter identification ; Integral method ; PEEP ; Hypovolemia
• 刊名：Thin Solid Films
• 出版年：2008
• 期刊代码：78_00406090
• 类别：ph
• 出版时间：30 August 2008
• 卷：516
• 期：20
• 页码：6715
• 文件大小：80 K

摘要

A cardiovascular system model and parameter identification method have previously been validated for porcine experiments of induced pulmonary embolism and positive end-expiratory pressure (PEEP) titrations, accurately tracking all the main hemodynamic trends. In this research, the model and parameter identification process are further validated by predicting the effect of intervention. An overall population-specific rule linking specific model parameters to increases in PEEP is formulated to predict the hemodynamic effects on arterial pressure, pulmonary artery pressure and stroke volume. Hemodynamic changes are predicted for an increase from 0 to 10 cmH₂O with median absolute percentage errors less than 7%(systolic pressures) and 13%(stroke volume). For an increase from 10 to 20 cmH₂O median absolute percentage errors are less than 11%(systolic pressures) and 17%(stroke volume). These results validate the general applicability of such a rule, which is not pig-specific, but holds over for all analyzed pigs. This rule enables physiological simulation and prediction of patient response. Overall, the prediction accuracy achieved represents a further clinical validation of these models, methods and overall approach to cardiovascular diagnosis and therapy guidance.