A data-driven model to estimate breathing-induced intra-trunk blood shifts during exercise.
Details
Serval ID
serval:BIB_D9C7AA1D994E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A data-driven model to estimate breathing-induced intra-trunk blood shifts during exercise.
Journal
Journal of applied physiology
ISSN
1522-1601 (Electronic)
ISSN-L
0161-7567
Publication state
Published
Issued date
01/06/2025
Peer-reviewed
Oui
Volume
138
Number
6
Pages
1581-1599
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
The pressure swings generated by the respiratory muscles induce blood shifts (Vbs) between the trunk and the extremities. Vbs varies with swing amplitude and breathing pattern and can reach sizable volumes. Although Vbs was successfully explored using double-body plethysmography, the extent of intra-trunk blood shifting (between abdomen and thorax, Vbs <sub>IT</sub> ) remains to be quantified. We here present an electrical model of the cardiovascular system that allows to derive quantitative estimates of breath-by-breath Vbs <sub>IT</sub> . We first validated the model with experimental data collected from healthy participants performing exercise with various breathing patterns, including spontaneous (CTRL), abdominal (AB), and rib cage breathing (RC), and with external expiratory flow limitation (EFLe). We then fed the model with other experimental data to derive Vbs <sub>IT</sub> in a proof-of-concept fashion. Breath-by-breath fluctuations in Vbs derived from the model matched experimental data. Computations of Vbs <sub>IT</sub> were in line with expectations, showing small fluctuations with spontaneous breathing and substantial increases during AB, RC, and EFLe. Intra-breath Vbs <sub>IT</sub> showed a close relationship with intra-breath transdiaphragmatic pressure during inspiration in all conditions and during expiration in AB and RC, reflecting the net effect of hydraulic pressure fluctuations on blood displacement between the two compartments. This model may benefit further work investigating (patho)physiological mechanisms of various conditions affecting cardiorespiratory function, both at rest and during exercise.NEW & NOTEWORTHY This study presents an electrical model of the cardiovascular system, capable of estimating breath-by-breath intra-trunk blood shifting (Vbs <sub>IT</sub> ) between the abdomen and thorax. The model was validated using data from healthy participants performing various breathing patterns during exercise. It allowed quantifying Vbs <sub>IT</sub> fluctuations, with significant increases during abdominal and rib cage breathing and expiratory flow limitation. This model offers a valuable tool for exploring cardiorespiratory function in health and disease, including COPD and heart failure.
Keywords
Humans, Exercise/physiology, Respiration, Male, Adult, Models, Cardiovascular, Female, Plethysmography/methods, Respiratory Muscles/physiology, Abdomen/physiology, Thorax/physiology, Thorax/blood supply, Young Adult, OEP, blood shift, breathing, exercise, venous return
Pubmed
Open Access
Yes
Create date
23/06/2025 15:34
Last modification date
24/06/2025 7:25