Kinnane, Oliver P (2004) Investigation of slow oscillations in blood pressure. PhD thesis, National University of Ireland Maynooth.
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Abstract
This thesis addresses blood pressure regulation from a mathematical modelling
perspective. Blood pressure is controlled via a number of different negative
feedback mechanisms. The baroreflex loop is the most dominant of these
mechanisms for short-term control of blood pressure, and soft-limiting
nonlinearities inherent in this loop, are thought to give rise to a slow limit cycle
oscillation in blood pressure at 0.1 Hz in the human. Measurement of the strength
of this slow oscillation has been proposed as the basis for the development of a
diagnostic test of cardiovascular dysfunction or disease. Due to this hypothesis,
extensive effort has been invested in measuring the strength of this slow
oscillation in blood pressure in a range of physiological and pathophysiological
conditions. However, the momentum of this research has continued with little
consideration given to the fundamental cause of this oscillation. The means of
genesis of the slow oscillation in blood pressure is the major focus of this
research, and a mathematical modelling approach was undertaken to analyse the
nonlinear mechanisms that give rise to this slow oscillation.
The theory that the slow oscillation in blood pressure results due to the feedback
nature of the baroreflex loop, and is a limit cycle oscillation established by the
nonlinear elements in this feedback loop, is initially investigated by the analysis
of blood pressure data recorded during different physiological conditions in
which the strength of the slow oscillation in blood pressure was observed to
change.
Nonlinear time series analysis methods were used to investigate for the existence
of a limit cycle oscillation in blood pressure, and so that insight may be attained
into the effects of changes of the nonlinear characteristics on the slow oscillation.
Following this, changes in the strength of the slow oscillation were investigated,
again during different physiological conditions, via a model of baroreflex control
of the vasculature.
Complications to this analysis, due to the difficulty of developing an analytical
describing function representation of the nonlinear sigmoid characteristic
inherent to the baroreflex, led to the investigation of a range of describing
function approximation methods for the sigmoid nonlinearity, which permeates
the cardiovascular literature.
A nonlinear model of the complete baroreflex, including the cardiac branch,
which has often been ignored, was developed. The ability of the model to
replicate the slow oscillation in blood pressure was assessed. A significant role
for the heart in the development of the oscillation was identified. An analytical
analysis technique was developed to investigate the significance of the different
pathways of the baroreflex involved in the genesis of the slow oscillation. This
analysis resulted in the development of conditions under which a sustained limit
cycle oscillation can occur. In particular the role of mean levels of cardiac output
and vascular resistance, previously thought to be relatively unimportant, in
establishing and maintaining sustained oscillations, was highlighted.
The ultimate aim of this research was to develop the understanding of the
mechanisms involved in the genesis of the slow oscillation, and thereby, to assist
in the development of a diagnostic test based on non-invasive measurement of
the slow oscillation in blood pressure.
Item Type: | Thesis (PhD) |
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Keywords: | oscillations; blood pressure; |
Academic Unit: | Faculty of Science and Engineering > Electronic Engineering |
Item ID: | 5214 |
Depositing User: | IR eTheses |
Date Deposited: | 24 Jul 2014 09:13 |
URI: | https://mural.maynoothuniversity.ie/id/eprint/5214 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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