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  4. Three- and four-element Windkessel models: assessment of their fitting performance in a large cohort of healthy middle-aged individuals
 
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research article

Three- and four-element Windkessel models: assessment of their fitting performance in a large cohort of healthy middle-aged individuals

Segers, P
•
Rietzschel, E R
•
De Buyzere, M L
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2008
Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine

Lumped-parameter models are used to estimate the global arterial properties by fitting the model to measured (aortic) pressure and flow. Different model configurations coexist, and it is still an open question as to which model optimally reflects the arterial tree and leads to correct estimates of arterial properties. An assessment was made of the performance of (a) the three-element Windkessel model (WK3) consisting of vascular resistance R, total arterial compliance C, and characteristic impedance Zc; (b) a four-element model with an inertance element L placed in parallel with Zc (WK4-p); and (c) a four-element model with L placed in series with Zc (WK4-s). Models were fitted to data measured non-invasively in 2404 healthy subjects, aged between 35 and 55 years. It was found that model performance segregated into two groups. In a group containing 20 per cent of the dataset (characterized by low blood pressure and wave reflection) the WK4-p model outperformed the other models, with model behaviour as envisioned by its promoters. In these cases, the WK3 and WK4-s models led to increased overestimation of total arterial compliance and underestimation of characteristic impedance. However, in about 80 per cent of the cases, the WK4-p model showed a behaviour that was very similar to that of the WK3 and WK4-s models. Here, the WK4-s model yielded the best quality of fit, although model parameters reached physically impossible values for L in about 12 per cent of all cases. The debate about which lumped-parameter model is the better approximation of the arterial tree is therefore still not fully resolved.

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Type
research article
DOI
10.1243/09544119JEIM287
Web of Science ID

WOS:000256743100004

PubMed ID

18595354

Author(s)
Segers, P
•
Rietzschel, E R
•
De Buyzere, M L
•
Stergiopulos, N  
•
Westerhof, N
•
Van Bortel, L M
•
Gillebert, T
•
Verdonck, P R
Date Issued

2008

Published in
Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine
Volume

222

Issue

4

Start page

417

End page

28

Subjects

Models, Cardiovascular

Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LHTC  
Available on Infoscience
December 16, 2010
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/62232
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