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作者:

Chen, Sihan (Chen, Sihan.) | Li, Bao (Li, Bao.) | Yang, Haisheng (Yang, Haisheng.) | Du, Jianhang (Du, Jianhang.) | Lie, Xiaoling (Lie, Xiaoling.) | Liu, Youjun (Liu, Youjun.) (学者:刘有军)

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EI Scopus SCIE

摘要:

Enhanced external counterpulsation (EECP) is able to treat myocardial ischemia, which is usually caused by coronary artery stenosis. However, the underlying mechanisms regarding why this technique is effective in treating myocardial ischemia remains unclear and there is no patient-specific counterpulsation mode for different rates of coronary artery stenosis in clinic. This study sought to investigate the hemodynamic effect of varied coronary artery stenosis rates when using EECP and the necessity of adopting targeted counterpulsation mode to consider different rates of coronary artery stenosis. Three 3-dimensional (3D) coronary models with different stenosis rates, including 55% (Model 1), 65% (Model 2), and 75% (Model 3), were generated, then coupled with a 0-dimensional (OD) lumped parametric model of the blood circulatory system. EECP was applied to the 0D/3D coupled models to study the hemodynamic response of the coronary artery. Under the same counterpulsation mode, the ratio of diastolic blood pressure to systolic blood pressure of 3 models during counterpulsation was 1.4, and the cardiac output and coronary artery flow rate increased significantly. The low wall shear stress (WSS) and high oscillatory shear index (OSI) areas were mainly located at the posterior end of the stenosis and coronary artery bifurcation. Moreover, with an increase in the rate of coronary artery stenosis, the increased percentage of flow rate through the coronary artery stenosis and area-averaged WSS decreased. The geometric multiscale model in this study can be used to effectively simulate the hemodynamic characteristics of cardiovascular system following the application of EECP. Local precise hemodynamic effect of the coronary artery stenosis can be observed. It was found from the hemodynamic factors that the coronary artery with lower stenosis rate more likely led to better vascular endothelial remodeling. Thus, it is necessary to adopt patient-specific counterpulsation mode accounting for different condition of coronary artery stenosis.

关键词:

coronary artery stenosis Enhanced external counterpulsation geometric multiscale method hemodynamics wall shear stress

作者机构:

  • [ 1 ] [Chen, Sihan]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Ping Leyuan, Beijing 100124, Peoples R China
  • [ 2 ] [Li, Bao]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Ping Leyuan, Beijing 100124, Peoples R China
  • [ 3 ] [Yang, Haisheng]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Ping Leyuan, Beijing 100124, Peoples R China
  • [ 4 ] [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Ping Leyuan, Beijing 100124, Peoples R China
  • [ 5 ] [Du, Jianhang]Sun Yat Sen Univ, Affiliated Hosp 8, 3025 ShenNan Rd, Shenzhen 518033, Guangdong, Peoples R China
  • [ 6 ] [Lie, Xiaoling]Sun Yat Sen Univ, Affiliated Hosp 8, 3025 ShenNan Rd, Shenzhen 518033, Guangdong, Peoples R China

通讯作者信息:

  • 刘有军

    [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Ping Leyuan, Beijing 100124, Peoples R China

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来源 :

CMES-COMPUTER MODELING IN ENGINEERING & SCIENCES

ISSN: 1526-1492

年份: 2018

期: 2

卷: 116

页码: 149-162

2 . 4 0 0

JCR@2022

ESI学科: COMPUTER SCIENCE;

ESI高被引阀值:81

JCR分区:4

被引次数:

WoS核心集被引频次: 3

SCOPUS被引频次: 3

ESI高被引论文在榜: 0 展开所有

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中文被引频次:

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