Multi-scale modeling of hypertension

The focus of this work is the coupling of a 1-D lumped parameter model representing the circulatory system to a 3-D finite element based left ventricle (LV) model in order to study the effects of mild hypertension on the cardiovascular system. A Finite Element LV model under normotensive loading (116/80 mmHg) was developed as well as a mild hypertension (165/90 mmHg) model. In both cases, coupled analysis was utilized so that at one diastolic time point and four systolic time points the values for the LV volumes and pressures were determined from the steady-state JSim solution. The normotensive model had an average first principal stress of 39.1KPa while the hypertensive case showed an increased value of 51.8KPa representing a 32.3% increase. A relatively mild increase in the afterload resulted in a pronounced increase in workload to maintain the same systemic flow.