Atrial electromechanical delay and left atrial mechanical functions in hemodialysis and peritoneal dialysis patients
Introduction ::: Left atrium (LA) mechanical functions and atrial electromechanical delay (AEMD) times were considered independent predictors of cardiovascular morbidity in general population. Data are scant about these parameters in end-stage renal disease (ESRD) patients receiving hemodialysis (HD) and peritoneal dialysis (PD). We aimed to evaluate AEMD times and LA mechanical functions and associated risk factors in HD and PD patients.
In this article, we study a piecewise smooth dynamical system inspired by a previous reduced system modeling compartimentalized brain metabolism. The piecewise system allows the introduction of an autoregulation induced by a feedback of the extracellular or capillary Lactate concentrations on the Capillary Blood Flow. New dynamical phenomena are uncovered and we discuss existence and nature of two equilibrium points, attractive segment, boundary equilibrium and periodic orbits depending of the Capillary Blood Flow.