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Published on: November 20, 2016
Hemodynamics
1Department of Physiology, University of Arizona, Tucson, Arizona.
Insights
This review covers physical principles of blood flow and pressure distribution in vessels. Understanding hemodynamics, including blood properties and vessel mechanics, is crucial for circulatory system function and disease.
Area of Science:
- Physiology
- Biophysics
- Cardiovascular Science
Background:
- The circulatory system's function relies on complex interactions between blood flow, pressure, and vessel properties.
- Understanding these hemodynamics is key to comprehending cardiovascular health and disease.
Purpose of the Study:
- To review the fundamental physical principles governing blood flow and pressure distribution within the vascular system.
- To highlight the interplay of cardiac output, blood rheology, and vascular architecture.
Main Methods:
- This review synthesizes existing knowledge on fluid dynamics applied to the cardiovascular system.
- It examines the roles of pulsatile pressure, blood viscosity, inertia, and vessel biomechanics.
Main Results:
- Blood flow and pressure dynamics are influenced by heart's pulsatile output, blood's flow characteristics, and vessel geometry/properties.
- Flow phenomena vary significantly with vessel size, from pulse wave propagation in arteries to cell suspension effects in microcirculation.
- Vessel wall stresses from flow and pressure trigger biological responses influencing vascular control and remodeling.
Conclusions:
- Hemodynamics, encompassing fluid dynamics and biomechanics, is essential for understanding cardiovascular system operation.
- Knowledge of these physical principles is vital for addressing cardiovascular diseases like hypertension and atherosclerosis.
Abstract:
A review is presented of the physical principles governing the distribution of blood flow and blood pressure in the vascular system. The main factors involved are the pulsatile driving pressure generated by the heart, the flow characteristics of blood, and the geometric structure and mechanical properties of the vessels. The relationship between driving pressure and flow in a given vessel can be understood by considering the viscous and inertial forces acting on the blood. Depending on the vessel diameter and other physical parameters, a wide variety of flow phenomena can occur. In large arteries, the propagation of the pressure pulse depends on the elastic properties of the artery walls. In the microcirculation, the fact that blood is a suspension of cells strongly influences its flow properties and leads to a nonuniform distribution of hematocrit among microvessels. The forces acting on vessel walls include shear stress resulting from blood flow and circumferential stress resulting from blood pressure. Biological responses to these forces are important in the control of blood flow and the structural remodeling of vessels, and also play a role in major disease processes including hypertension and atherosclerosis. Consideration of hemodynamics is essential for a comprehensive understanding of the functioning of the circulatory system.
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