A newly developed mathematical model accurately simulates the pressure, volume, and flow dynamics of the human systemic circulatory system during cardiac arrest and hemorrhage.
May support in silico hemorrhage research; leaves open prospective clinical validation before practice impact.
A mathematical model is developed that accurately describes the pressure, volume and flow dynamics of the systemic circulatory system over the full physiological range of human pressures and volumes. At the heart of this model are mathematical representations for the autonomic and central nervous system reflexes which maintain arterial pressure, cardiac output and cerebral blood flow. These representations involve functions in which a maximum effect and a minimum effect are smoothly connected by a logistic transition. A new approach to modelling the pressure – volume relationship in a vessel with smooth muscle contraction is also presented. To test the model, simulations of cardiac arrest and various haemorrhagic situations were conducted, and predicted results were compared with clinical observations. Near-perfect agreement was obtained between predicted and observed values of the mean circulatory filling pressure, cardiac output and arterial pressure decay in the face of significant haemorrhage, and the critical values delineating progressive from non-progressive hypovolaemic shock.
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Stevens et al. (2006) studied this question.
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