Background: This article introduces and validates the Fractional Windkessel (W-ABC) model for accurate computational reproduction of the arterial pulse wave (APW). Accurate modelling of the APW is crucial for non-invasive assessment of cardiovascular function. Classic integer-order Windkessel models (WK2/WK3/WK4) systematically fail to reproduce the non-exponential diastolic decay of the APW, a signature of arterial viscoelasticity. Objective: To formulate, implement, and validate the W-ABC model—a fractional Windkessel model using the Atangana-Baleanu Caputo (ABC) operator—for high-fidelity computational synthesis of the APW, including systolic rise, heavy-tailed diastolic decay, and dicrotic notch. Methods: The W-ABC integro-differential equation is solved numerically via a second-order Adams-Bashforth scheme (Δt = 1 ms). The cardiac input Qin(t) is modelled by a gamma-variate function; the dicrotic notch is a localised Gaussian perturbation Id(t). Parameters (R, C, α, D, td, σ) were calibrated by Levenberg-Marquardt nonlinear least-squares minimisation against a synthetic reference APW (normotensive adult, 60 bpm, 500-point window, noise-free). Results: At α = 0.85, absolute diastolic RMSE decreased from 3.2 mmHg (α = 1, WK2 baseline) to 1.9 mmHg (W-ABC), representing a 40% reduction. Maximum systolic slope error remained <5% for both models. The dicrotic notch was accurately reproduced by the Gaussian term. Conclusion: The W-ABC model provides a mathematically rigorous, physiologically interpretable framework for APW synthesis. The fractional order α constitutes a candidate non-invasive biomarker of arterial viscoelasticity, pending prospective clinical validation.
References
[1]
Frank, O. (1899) Die grundform des arteriellen pulses erste abhandlung: Mathematische analyse. Zeitschrift für Biologie, 37, 483-526.
[2]
Westerhof, N., Lankhaar, J.W. and Westerhof, B.E. (2009) The Arterial Windkessel. Medical&BiologicalEngineering&Computing, 47, 131-141. https://doi.org/10.1007/s11517-008-0359-2
[3]
Atangana, A. and Baleanu, D. (2016) New Fractional Derivatives with Nonlocal and Non-Singular Kernel: Theory and Application to Heat Transfer Model. ThermalScience, 20, 763-769. https://doi.org/10.2298/tsci160111018a
[4]
Diagne, M., Mbow, D. and Mbe, J. (2018) Fractional Order Windkessel Model with Caputo and Atangana-Baleanu Derivative for the Study of Blood Flow. Chaos Solitons Fractals, 110, 155-62.
[5]
Magin, R.L. (2006) Fractional Calculus in Bioengineering. Begell House.
[6]
Bahloul, M.A. and Laleg-Kirati, T. (2020) Assessment of Fractional-Order Arterial Windkessel as a Model of Aortic Input Impedance. IEEE Open Journal of Engineering in Medicine and Biology, 1, 123-132. https://doi.org/10.1109/ojemb.2020.2988179
[7]
Chu, Y., Zarin, R., Khan, A. and Murtaza, S. (2023) A Vigorous Study of Fractional Order Mathematical Model for Sars-Cov-2 Epidemic with Mittag-Leffler Kernel. Alexandria Engineering Journal, 71, 565-579. https://doi.org/10.1016/j.aej.2023.03.037
[8]
Elgendi, M. (2012) On the Analysis of Fingertip Photoplethysmogram Signals. CurrentCardiologyReviews, 8, 14-25. https://doi.org/10.2174/157340312801215782
[9]
Westerhof, N., Elzinga, G. and Sipkema, P. (1971) An Artificial Arterial System for Pumping Hearts. Journal of AppliedPhysiology, 31, 776-781. https://doi.org/10.1152/jappl.1971.31.5.776
[10]
Starmer, C.F. and Clark, D.O. (1970) Computer Simulations of the Continuous Cardiac Output Curve. Circulation Research, 27, 1-13.
[11]
Westerhof, N., Stergiopulos, N., Noble, M.I.M. and Westerhof, B.E. (2019) Snapshots of Hemodynamics: An Aid for Clinical Research and Graduate Education. 3rd Edition, Springer. https://doi.org/10.1007/978-3-319-91932-4
[12]
Laurent, S., Cockcroft, J., Van Bortel, L., Boutouyrie, P., Giannattasio, C., Hayoz, D., et al. (2006) Expert Consensus Document on Arterial Stiffness: Methodological Issues and Clinical Applications. EuropeanHeartJournal, 27, 2588-2605. https://doi.org/10.1093/eurheartj/ehl254
[13]
Nichols, W.W., O’Rourke, M.F. and Vlachopoulos, C. (2011) McDonald’s Blood Flow in Arteries: Theoretical, Experimental and Clinical Principles. 6th Edition, Hodder Arnold. https://doi.org/10.1201/b13568
[14]
Boutouyrie, P., Tropeano, A.I., Asmar, R., Gautier, I., Benetos, A., Lacolley, P., et al. (2002) Aortic Stiffness Is an Independent Predictor of Primary Coronary Events in Hypertensive Patients: A Longitudinal Study. Hypertension, 39, 10-15. https://doi.org/10.1161/hy0102.099031
[15]
Podlubny, I. (1999) Fractional Differential Equations. Academic Press.
[16]
Kilbas, A.A., Srivastava, H.M. and Trujillo, J.J. (2006) Theory and Applications of Fractional Differential Equations. Elsevier.
[17]
Abdeljawad, T. and Baleanu, D. (2017) Integration by Parts and Its Applications of a New Nonlocal Fractional Derivative with Mittag-Leffler Nonsingular Kernel. TheJournalofNonlinearSciencesandApplications, 10, 1098-1107. https://doi.org/10.22436/jnsa.010.03.20
[18]
Steele, B.N., Wan, J., Ku, J.P., Hughes, T.J.R. and Taylor, C.A. (2003) In Vivo Validation of a One-Dimensional Finite-Element Method for Predicting Blood Flow in Cardiovascular Bypass Grafts. IEEETransactionsonBiomedicalEngineering, 50, 649-656. https://doi.org/10.1109/tbme.2003.812201
[19]
Van Bortel, L.M., Laurent, S., Boutouyrie, P., Chowienczyk, P., Cruickshank, J.K., De Backer, T., et al. (2012) Expert Consensus Document on the Measurement of Aortic Stiffness in Daily Practice Using Carotid-Femoral Pulse Wave Velocity. JournalofHypertension, 30, 445-448. https://doi.org/10.1097/hjh.0b013e32834fa8b0
[20]
Gorenflo, R. and Mainardi, F. (1997) Fractional Calculus: Integral and Differential Equations of Fractional Order. In: Carpinteri, A. and Mainardi, F., Eds., FractalsandFractionalCalculusinContinuumMechanics, Springer, 223-276. https://doi.org/10.1007/978-3-7091-2664-6_5