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The Proceedings of the American Thoracic Society 3:467-471 (2006)
© 2006 The American Thoracic Society
doi: 10.1513/pats.200603-028MS
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Giles F. Filley Lecture. Complex Systems

Ary L. Goldberger

Cardiology Division, and Margret and H.A. Rey Institute for Nonlinear Dynamics in Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts

Correspondence and requests for reprints should be addressed to Ary L. Goldberger, M.D., Cardiology Division, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, GZ-435, Boston, MA 02215. E-mail: agoldber{at}bidmc.harvard.edu

ABSTRACT

Physiologic systems in health and disease display an extraordinary range of temporal behaviors and structural patterns that defy understanding based on linear constructs, reductionist strategies, and classical homeostasis. Application of concepts and computational tools derived from the contemporary study of complex systems, including nonlinear dynamics, fractals and "chaos theory," is having an increasing impact on biology and medicine. This presentation provides a brief overview of an emerging area of biomedical research, including recent applications to cardiopulmonary medicine and chronic obstructive lung disease.

Key Words: chaos theory • chronic obstructive pulmonary disease • fractal • nonlinear dynamics • sleep apnea




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