Key result
A numerical simulation model based on a partially pressurized collapsible tube successfully reproduced the oscillation of inner fluid and tube collapse, showing good agreement with experimental results.
A simplified one-dimensional numerical model can effectively simulate the hemodynamics and tube collapse responsible for Korotkoff sounds during noninvasive blood pressure measurement.
May refine Korotkoff sound modeling for BP devices; leaves open clinical validation before practice impact.
In this paper, a simulation model based on the partially pressurized collapsible tube model for reproducing noninvasive blood pressure measurement is presented. The model consists of a collapsible tube, which models the pressurized part of the artery, rigid pipes connected to the collapsible tube, which model proximal and distal region far from the pressurized part, and the Windkessel model, which represents the capacitance and the resistance of the distal part of the circulation. The blood flow is simplified to a one-dimensional system. Collapse and expansion of the tube is represented by the change in the cross-sectional area of the tube considering the force balance acting on the tube membrane in the direction normal to the tube axis. They are solved using the Runge-Kutta method. This simple model can easily reproduce the oscillation of inner fluid and corresponding tube collapse typical for the Korotkoff sounds generated by the cuff pressure. The numerical result is compared with the experiment and shows good agreement.
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Hayashi et al. (2006) studied Noninvasive blood pressure measurement. Numerical simulation model based on a partially pressurized collapsible tube vs. Experimental results was evaluated on Reproduction of oscillation of inner fluid and corresponding tube collapse typical for Korotkoff sounds. A numerical simulation model based on a partially pressurized collapsible tube successfully reproduced the oscillation of inner fluid and tube collapse, showing good agreement with experimental results.
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