학술논문

Modeling essential hypertension with a closed‐loop mathematical model for the entire human circulation.
Document Type
Article
Source
International Journal for Numerical Methods in Biomedical Engineering. Nov2023, Vol. 39 Issue 11, p1-36. 36p.
Subject
*ESSENTIAL hypertension
*CARDIOVASCULAR system
*CARDIOVASCULAR diseases
*DISEASE risk factors
*BLOOD pressure
*MATHEMATICAL models
*PULMONARY circulation
Language
ISSN
2040-7939
Abstract
Arterial hypertension, defined as an increase in systemic arterial pressure, is a major risk factor for the development of diseases affecting the cardiovascular system. Every year, 9.4 million deaths worldwide are caused by complications arising from hypertension. Despite well‐established approaches to diagnosis and treatment, fewer than half of all hypertensive patients have adequately controlled blood pressure. In this scenario, computational models of hypertension can be a practical approach for better quantifying the role played by different components of the cardiovascular system in the determination of this condition. In the present work we adopt a global closed‐loop multi‐scale mathematical model for the entire human circulation to reproduce a hypertensive scenario. In particular, we modify the model to reproduce alterations in the cardiovascular system that are cause and/or consequence of the hypertensive state. The adaptation does not only affect large systemic arteries and the heart but also the microcirculation, the pulmonary circulation and the venous system. Model outputs for the hypertensive scenario are validated through assessment of computational results against current knowledge on the impact of hypertension on the cardiovascular system. [ABSTRACT FROM AUTHOR]