Cardiovascular dynamics - Analysis and modelling of its oscillations and their synchronization

Prof. Dr. Aneta Stefanovska
Dr. Maja Bračič-Lotrič

 

The cardiovascular system serves to keep the blood in continuous motion and does so with the help of the lungs and the heart, which generate pressure difference, and the vessels which actively regulate the resistance or conductance throughout the network. It has long been known that the heart of a healthy human subject in repose does not beat regularly. The rhythmic variation in the heart rate occurring at the frequency of respiration, known as respiratory sinus arrhythmia, has been studied intensively over many years. Recently it has been established that comparable phenomena also occur on longer timescales: the blood distributions system is characterised by five characteristic frequencies ranging from 0.01-1.0 Hz. The same frequencies can be detected in diverse measurements (ECG, respiration, blood pressure and blood flow-rate) on widely separated sites.

The modulation of cardiac frequency bears the signatures of other cardiovascular functions and their demands for adaptation. In the resting but waking state in humans, this causes synchronization between the cardiac and respiratory systems to occur only episodically. Recent studies have illuminated the way in which the pattern of phase synchronization changes during anesthesia. They have shown that, with diminished nerve control, the two systems pass reversibly through a sequence of phase-synchronized states as the anesthesia level changes, indicating that they can undergo phase transition like phenomena.

The frequency and amplitude variations and phase synchronization are reminiscent of phenomena observed in coupled oscillators, raising the possibility that it may be useful to model the cardiovascular system as a system of coupled autonomous oscillators; it is likely that random noise also plays a role. Each oscillator is coupled to each of the others, thus mutually influencing all their frequencies and amplitudes. Preliminary numerical results were obtained that reproduce well the state of the system in coma, for which the couplings are very weak. However, the physiological characteristics of the coupling functions need to be identified in order to achieve a more realistic description of the healthy cardiovascular system.