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- Bolger, Ann F, 1957-, et al.
(författare)
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Transit of blood flow through thehuman left ventricle mapped by cardiovascular magnetic resonance
- 2007
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Ingår i: Journal of Cardiovascular Magnetic Resonance. - : Informa UK Limited. - 1097-6647 .- 1532-429X. ; 9:5, s. 741-747
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND:The transit of blood through the beating heart is a basic aspect of cardiovascular physiology which remains incompletely studied. Quantification of the components of multidirectional flow in the normal left ventricle (LV) is lacking, making it difficult to put the changes observed with LV dysfunction and cardiac surgery into context.METHODS:Three dimensional, three directional, time resolved magnetic resonance phase-contrast velocity mapping was performed at 1.5 Tesla in 17 normal subjects, 6 female, aged 44+/-14 years (mean+/-SD). We visualized and measured the relative volumes of LV flow components and the diastolic changes in inflowing kinetic energy (KE). Of total diastolic inflow volume, 44+/-11% followed a direct, albeit curved route to systolic ejection (videos 1 and 2), in contrast to 11% in a subject with mildly dilated cardiomyopathy (DCM), who was included for preliminary comparison (video 3). In normals, 16+/-8% of the KE of inflow was conserved to the end of diastole, compared with 5% in the DCM patient. Blood following the direct route lost or transferred less of its KE during diastole than blood that was retained until the next beat (1.6+/-1.0 millijoules vs 8.2+/-1.9 millijoules, p<0.05); whereas, in the DCM patient, the reduction in KE of retained inflow was 18-fold greater than that of the blood tracing the direct route.CONCLUSION:Multidimensional flow mapping can measure the paths, compartmentalization and kinetic energy changes of blood flowing into the LV, demonstrating differences of KE loss between compartments, and potentially between the flows in normal and dilated left ventricles.
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| 2. |
- Carlhäll, Carljohan, 1973-, et al.
(författare)
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Contribution of mitral annular dynamics to LV diastolic filling with alteration in preload and inotropic state
- 2007
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Ingår i: American Journal of Physiology. Heart and Circulatory Physiology. - : American Physiological Society. - 0363-6135 .- 1522-1539. ; 293:3, s. G1473-H1479
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Tidskriftsartikel (refereegranskat)abstract
- Mitral annular (MA) excursion during diastole encompasses a volume that is part of total left ventricular (LV) filling volume (LVFV). Altered excursion or area variation of the MA due to changes in preload or inotropic state could affect LV filling. We hypothesized that changes in LV preload and inotropic state would not alter the contribution of MA dynamics to LVFV. Six sheep underwent marker implantation in the LV wall and around the MA. After 7–10 days, biplane fluoroscopy was used to obtain three-dimensional marker dynamics from sedated, closed-chest animals during control conditions, inotropic augmentation with calcium (Ca), preload reduction with nitroprusside (N), and vena caval occlusion (VCO). The contribution of MA dynamics to total LVFV was assessed using volume estimates based on multiple tetrahedra defined by the three-dimensional marker positions. Neither the absolute nor the relative contribution of MA dynamics to LVFV changed with Ca or N, although MA area decreased (Ca, P < 0.01; and N, P < 0.05) and excursion increased (Ca, P < 0.01). During VCO, the absolute contribution of MA dynamics to LVFV decreased (P < 0.001), based on a reduction in both area (P < 0.001) and excursion (P < 0.01), but the relative contribution to LVFV increased from 18 ± 4 to 45 ± 13% (P < 0.001). Thus MA dynamics contribute substantially to LV diastolic filling. Although MA excursion and mean area change with moderate preload reduction and inotropic augmentation, the contribution of MA dynamics to total LVFV is constant with sizeable magnitude. With marked preload reduction (VCO), the contribution of MA dynamics to LVFV becomes even more important.
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| 4. |
- Gårdhagen, Roland, 1978-, et al.
(författare)
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Assessment of Geometrical Influence on WSS Estimation in the Human Aorta
- 2006
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Ingår i: WSEAS Transactions on Fluid Mechanics. - 1790-5087. ; 4:1, s. 318-326
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Tidskriftsartikel (refereegranskat)abstract
- Computational fluid dynamics simulations were performed on a stenosed human aorta with poststenotic dilatation, in order to estimate wall shear stress (WSS). WSS is important due to its correlation with atherosclerosis. Both steady-state and non-stationary simulations were conducted. Three different models were created from a set of MRI images. Comparison of geometrically different models was accomplished by using geometrical landmarks and a comparison parameter. Geometrical differences had larger influence on WSS magnitude than inflow rotation in steady-state results for the models used. In non-stationary flow the largest differences in WSS are found when the flow velocity near the wall is low e.g. when the inflow is low or in recirculation regions.
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| 9. |
- Gårdhagen, Roland, 1978-, et al.
(författare)
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Subject Specific Wall Shear Stress in the Human Thoracic Aorta
- 2006
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Ingår i: WSEAS Transaction on biology and biomedicine. - 1109-9518. ; 10:3, s. 609-614
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Tidskriftsartikel (refereegranskat)abstract
- Numerous studies have shown a correlation between Wall Shear Stress (WSS) and atherosclerosis, but few have evaluated the reliability of estimation methods and measures used to assessWSS, which is the subject of this work. A subject specific vessel model of the aortic arch and thoracic aorta is created fromMRI images and used for CFD simulations with MRI velocity measurements as inlet boundary condition. WSS is computed from the simulation results. Aortic WSS shows significant spatial as well as temporal variation during a cardiac cycle, which makes circumferential values very uninformative, and approximate estimates using Hagen-Poiseuille fails predict the averageWSS. Highly asymmetric flow, especially in the arch, causes the spatial WSS variations.
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