Practical lesson Two models of the cardiovascular system: 1. - - PDF document

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Practical lesson Two models of the cardiovascular system: 1. - - PDF document

Lesson 5 University of Bergamo Engineering and Management for Health FOR CHRONIC DISEASES MEDICAL SUPPORT SYSTEMS LESSON 5 Lumped parameter models of the cardiovascular system: practical lesson. Ettore Lanzarone March 25, 2020 Practical


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Lesson 5 Lumped parameter models of the cardiovascular system: practical lesson.

Ettore Lanzarone March 25, 2020

MEDICAL SUPPORT SYSTEMS FOR CHRONIC DISEASES

Engineering and Management for Health University of Bergamo

LESSON 5

Practical lesson

Two models of the cardiovascular system: 1. Simple RLRC model 2. Accurate model with several segments (Burattini and Gnudi, 1982; Lanzarone et al., 2017)

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Lesson 5

Practical lesson

Simple RLRC model

  • Parameters according to Sharp and Dharmalingam (1999)
  • Swanson and Clarck input flow

Practical lesson

Simple RLRC model

  • Simnon code with only one .T file
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SLIDE 3

Lesson 5

Practical lesson

Accurate model with several segments

  • Parameters according to Burattini and Gnudi (1982) and

Lanzarone et al. (2017)

  • Swanson and Clarck input flow
  • Includes the feedback controls in agreement with

Lanzarone et al. (2017)

Practical lesson

Accurate model with several segments

  • Architecture of several Simnon files

PRINCIPALE.T Macro to run the system Centrale.T Perif***.T Segments and peripheral networks Conness.T Exchange of variables between subsystems

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SLIDE 4

Lesson 5

Practical lesson

Accurate model with several segments 1. Open MTESI 2. Write MTESI in the command dialog box 3. Launch simulation with the dedicated window (store variables of interest and use fixed step time) 4. Write “Ashow” and “Show” to view results

Practical lesson

Accurate model with several segments Where to change parameters for the analysis we are conducting? File Centrale.T

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SLIDE 5

Lesson 5

Practical lesson

ANALYSES TO PERFORM

1. Choose a duration of the simulation to be sure that the initial transient time is over 2. Compare the two models. Which is the most accurate one and why? 3. Evaluate the pressure in the aortic segments 2 – 7 in the complete

  • model. What do you observe? Is it in agreement with the medical

literature?

Practical lesson

ANALYSES TO PERFORM

4. Study a pathological case: old patient with rigid vessels. All compliances reduced by a fixed percentage. What do you

  • bserve? Did you expect that?

5. Study a surgical case: insertion of an aortic prosthesis. Resistances are increased and compliances are decreased in segments 3 – 7

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SLIDE 6

Lesson 5

Practical lesson

POSSIBLE PROJECT ON THIS TOPIC

Based on the available information on the existing prostheses, chose the best one in order to limit the impact on pressure alteration.