Feedback control of mean aortic pressure in a dynamic model of the cardiovascular system

Citation
Ds. O'Leary et al., Feedback control of mean aortic pressure in a dynamic model of the cardiovascular system, ASAIO J, 45(6), 1999, pp. 587-594
Citations number
10
Categorie Soggetti
Research/Laboratory Medicine & Medical Tecnology
Journal title
ASAIO JOURNAL
ISSN journal
10582916 → ACNP
Volume
45
Issue
6
Year of publication
1999
Pages
587 - 594
Database
ISI
SICI code
1058-2916(199911/12)45:6<587:FCOMAP>2.0.ZU;2-K
Abstract
Orbital measurements of the cardiac function of Space Shuttle crew members have shown an initial increase in cardiac stroke volume upon entry into wei ghtlessness, followed by a gradual reduction in stroke volume to a level ap proximately 15% less than preflight values. In an effort to explain this re sponse, it was hypothesized that gravity plays a role in cardiac filling. A mock circulatory system was designed to investigate this effect. Prelimina ry studies carried out with this system on the NASA KC-135 aircraft, which provides brief periods of weightlessness, showed a strong correlation betwe en cardiac filling, stroke volume, and the presence or absence of gravity. The need for extended periods of high quality zero gravity was identified t o verify this observation. To accomplish this, the aircraft version of the experiment was reduced in size and fully automated for eventual integration into a Get Away Special canister to conduct an orbital version of the expe riment. This article describes the automated system, as well as the develop ment and implementation of a control algorithm for the servoregulation of t he mean aortic pressure in the orbital experiment. Three nonlinearities tha t influence the ability of the apparatus to regulate to a mean aortic press ure of 95 mm Hg were identified and minimized. In preparation for a Space S huttle flight, the successful function of the servoregulatory scheme was de monstrated during ground tests and additional test flights aboard the KC-13 5. The control algorithm was successful in carrying out the experimental pr otocol, including regulation of mean aortic pressure. The algorithm could a lso be used for the automated operation of long-term tests of circulatory s upport systems, which may require a scheduled cycling of the pumping condit ions on a daily basis.