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where εi is the error between the data xi and the model prediction x ^ i
Cardiovascular System
The heart is a series hydraulic system with a powerful
chamber, the left ventricle LV ejecting a spurt of blood (stroke
volume) in each contraction (in the order of 80 mL/beat at
about 70 beats/min or slightly above 1 beat/s) through the
aortic valve into the aorta — main arterial output — to the
systemic circulation.
The latter is a highly complex network, extended deeply into
every tissue and presenting a finite, measurable and variable
hindrance to the blood flow.
Physiologists call it periheral resistance, Rp, and, quite often,
they even calculate a handy numerical value making use of
Poiseuille’s Law (which is the hydraulic analog of Ohm’s Law of
electricity).
Cardiovascular System
After exchange (gases, nutrients and metabolites) in the capillaries (which are
part of the peripheral resistance), the return pathway is via the venous system
back to the heart, entering it through the vena cava (a large distensible vein)
into a small contractile chamber called the right atrium, RA.
Blood goes from here to the right ventricle traversing the tricuspid valve (which
connects the RA with the RV) and, from the latter chamber (also contractile but
less powerful than its left side companion) proceeds through the pulmonary
valve into the pulmonary artery.
Thereafter, there is a shorter branching to the lungs, filling all its capillaries
and, thus, permitting another exchange (this time it is only a gas exchange:
oxygen is taken up and carbon dioxide is downloaded).
From them, little venules converge into larger and larger veins as they
approach the four pulmonary veins, which dump its oxygenated content into the
left atrium, LA, another small and contractile chamber.
The final step to complete the circuit is from the LA via the mitral valve back
into the LV, already set to start all over again.
The customers
The arteries, starting with the main outflow (the
aorta), branch off into smaller ducts supplying blood
to the different vascular beds.
These regional subsystems vascularize the tissues
that, in the end, are the “customers” or the final
users of the blood contents.
Each bed, by and large, has a relatively well defined
main inflow, as for example the kidneys, with one
unmistakable renal artery per kidney (one to the right
and the other to the left), or the ventricles
themselves, with the right and left coronary arteries .
Figure 2.3 depicts the principal users: the coronary circulation,
the brain, skeletal muscle, bone, the gastrointestinal and
hepatic especially coupled systems, the kidneys, the skin, and
other tissues.
Out of the total flow expelled by the left ventricle, the figure
indicates the respective approximate percentages derived to
each regional section.
However, depending on the physiological condition
(say,exercise, rest, postprandial or preprandial state, shock)
these values may change significantly. Some regions (as the
brain and the heart) are favored in emergency conditions as
compared to other lower hierarchical beds (as, for example, the
skin and the guts).
Variables of the Cardiovascular
System (CVS)
It is measured in units of volume per unit time (say, in mL/s or in L/min), has to
be guaranteed through every single piece of tissue.
Sometimes, this concept is referred to as perfusion. The total resting outflow,
either from the left or from the right ventricle, has an average value of about 5
to 6 L/min (or about 100 mL/s).
It is also called cardiac output, CO.
However, each bed takes only a portion of this total value. If one considers the
pulsating action of the heart, since each ventricle ejects during each contraction
the so called stroke volume, SV — about 70 to 80 mL/beat — at a frequency of
70/min, it leads to 4.9–5.6 L/min, which is roughly the figure given above.
Ischemia (ischein, to supress, and haima, blood, from Greek) is the word to
describe the condition characterized by a diminished perfusion.
If it happens in the brain or in the ventricles, it may end up in serious cerebral or
cardiac injury. It may take place also in any tissue, as for example in the gut.
Blood pressure (Pb)