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Journal Article

A nonlinear windkessel model for cardiovascular dynamics: Variable compliance and pathological simulations

Marcus Varanis; Mateus Ferraz; Daniel Longo; José Manoel Balthazar
Medical & Biological Engineering & Computing · 2026

Abstract

Lumped-parameter cardiovascular models are computationally efficient and physiologically interpretable, but many still represent arterial compliance as linear and pressure-independent. Here, we introduce a nonlinear extension of a classical closed-loop Windkessel model by defining aortic compliance as an exponential function of aortic pressure. The heart, systemic circulation, and pulmonary circulation are represented as an RLC network with time-varying ventricular elastances, yielding a twelve-state formulation derived from Kirchhoff’s laws. Under nominal conditions, the nonlinear model recovers the linear baseline, with near-superimposable pressure and flow waveforms and physiologically plausible steady-state indices. Away from the nominal operating point, the pressure-dependent law selectively modulates proximal pulsatility, while mean arterial pressure, stroke volume, and cardiac output remain comparatively preserved. Targeted parameter changes produce qualitative waveform and index-level signatures consistent with aortic regurgitation and arterial stiffening. The proposed formulation provides a compact, physiologically grounded platform for sensitivity analysis, pathological emulation, and early-stage evaluation of cardiovascular modeling scenarios.

Bibliographic Information

JournalMedical & Biological Engineering & Computing
PublisherSpringer
Publication Date2026-07-27
Publication Year2026
Document TypeJournal Article
Print ISSN0140-0118
eISSN1741-0444
DOI10.1007/s11517-026-03638-5

Access Information

NARA Access Coverage1963-01-01~Current
Journal Homepagehttps://www.springer.com/journal/11517
Publisher PageOpen Publisher Page
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