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By Batzel J.J., Timischl-Teschl S., Kappel F.

This paper considers a version of the human cardiovascular-respiratory controlsystem with one and shipping delays within the country equations describing the respiratorysystem. The effectiveness of the keep watch over of the air flow fee V˙A is stimulated by way of suchtransport delays simply because blood gases needs to be transported a actual distance from the lungs to the sensory websites the place those gases are measured. the quick time period cardiovascular keep watch over procedure doesn't contain such delivery delays even if delays do come up in different contexts resembling the baroreflex loop (see [46]) for instance. This baroreflex hold up isn't thought of the following. The interplay among middle fee, blood strain, cardiac output, and blood vessel resistance is sort of advanced and given the constrained wisdom on hand of this interplay, we'll version the cardiovascular keep watch over mechanism through an optimum regulate derived from keep an eye on conception. This keep an eye on can be stabilizing and is an affordable strategy in line with mathematical concerns in addition to being extra stimulated via the statement that many physiologists cite optimization as a possible effect within the evolution of organic structures (see, e.g., Kenner [29] or Swan [62]). during this paper we adapt a version, formerly thought of (Timischl [63] and Timischl et al. [64]), to incorporate the consequences of 1 and delivery delays.We will first enforce an optimum keep an eye on for the mixed cardiovascular-respiratory version with one nation area delay.We will then reflect on the consequences of a moment hold up within the kingdom area by way of modeling the respiration regulate through an empirical formulation with hold up whereas the the advanced relationships within the cardiovascular regulate will nonetheless be modeled through optimum regulate. This moment shipping hold up linked to the sensory process of the breathing regulate performs a big position in breathing balance. As an software of this version we'll contemplate congestive center failure the place this shipping hold up is bigger than general and the transition from the quiet wakeful nation to level four (NREM) sleep. The version can be utilized to review the interplay among cardiovascular and breathing functionality in a number of occasions in addition to to contemplate the impact of optimum functionality in physiological keep watch over process functionality.

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1999) [39] report that reductions in PaCO2 sensed at the peripheral chemoreceptors can also trigger central apneas during Cheyne-Stokes respiration. It is clear that the interaction of various respiratory factors can act in complex ways to influence the production of CSR and apnea in congestive heart failure. The larger reduction in sleep control gain Gs in this simulation actually acts to reduce the magnitude of the oscillatory cycles. On the other hand, simulations indicate and, in general, theory confirms that the higher control gain (CO2 sensitivity) prolongs and exaggerates oscillatory behavior.

The increased feedback delay due to reduced cardiac output, in conjunction with other factors may be sufficient to contribute to the onset, characteristics, or persistence of central sleep apnea, PB, or CSR associated with CHF. , Hall et al. (1996) [18], Pinna et al. (2000) [51] and Cherniack (1999) [9]. For analytical results see Batzel and Tran (2000) [3]. Figures (25) thru (30) give the congestive heart failure dynamics for the V˙A empirical control case simulating transition to sleep with fast transition parameters and in this case we also assume an awake feedback gain which is 50% higher than normal which in effect increases CO2 sensitivity.

1993) [20] for values of transport delay, and Bocchi et al. (2000) [6] for comparative values of H , Rs , and Vstr . See also Table 22 in the appendix and Tsuruta et al. (1994) [66] and Hambrecht et al. (2000) [19] for comparative Rs values. Arterio-venous oxygen content difference for the severe CHF case is consistent with Kugler et al. (1982) [38]. The very low contractility implies (given the small change in pressure) an ejection fraction consistent with clinical observations found in Niebauer et al.

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A cardiovascular-respiratory control system model including state delay with application to congestive heart failure in humans by Batzel J.J., Timischl-Teschl S., Kappel F.


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