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1 Hydraulics Laboratory, Institute for Biomedical Technology, University of Gent, B-9000 Ghent, Belgium; 2 Laboratory for Physiology, Free University of Brussels, B-1070 Brussels, Belgium; 3 Biomedical Engineering Laboratory, École Polytechnique Federale de Lausanne, 1015 Lausanne, Switzerland; and 4 Laboratory for Physiology, Institute for Cardiovascular Research, Free University of Amsterdam, 1081 BT Amsterdam, The Netherlands
In six dogs and
six weight-matched miniature pigs at baseline and after pulmonary
embolization, pulmonary arterial compliance was determined using the
pulse pressure method (CPPM),
the three-element windkessel model
(CWK-3), and the ratio of stroke
volume to pulse pressure (SV/PP).
CPPM was lower in pigs than in
dogs at baseline (0.72 ± 0.23 vs. 1.14 ± 0.29 ml/mmHg,
P < 0.05) and after embolism (0.37 ± 0.14 vs. 0.54 ± 0.16 ml/mmHg, P = 0.07) at
matched flow, but not at matched flow and pressure.
CPPM showed the expected inverse
relation with pressure and a direct relation with flow. CWK-3 was closely correlated with
CPPM, except for all dogs at baseline where CWK-3 was up to
100% higher than CPPM. Excluding these data, regression analysis yielded
CWK-3 =
0.01 + 1.30 · CPPM
(r2 = 0.97).
CWK-3 was found to be unreliable
when input impedance first harmonic modulus was close to characteristic
impedance, i.e., when reflections were small. SV/PP correlated well
with CPPM (SV/PP =
0.10 + 1.76 · CPPM,
r2 = 0.89). We
conclude that 1)
CPPM is a consistent estimate of pulmonary arterial compliance in pigs and dogs,
2)
CWK-3 and SV/PP overestimate
compliance, and 3)
CWK-3 is unreliable when wave reflections are small.
pulmonary hemodynamics; pulse pressure method; three-element windkessel; stroke volume-to-pulse pressure ratio
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