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Shear stress acting on the luminal surface of endothelial cells due to shear flow was determined on a subcellular scale. Three types pulsatile state flow (type I: nonreversing flow, type II: reversing flow, type III: oscillatory flow) over a wavy endothelial cell surface was simulated by finite difference method. We obtained: (1) The shear stress amplitude of variation in pulsatile field higher than that in steady flowing field; (2) the fluid shear stress distribution in cell was nonuniform and the magnitude of the shear stress perturbation depended on the value of height/length ratio, and this value increased, with the shear stress increase; (3) the phase of the shear stress distribution was also nonuniform and changed with time and sinusoidal entrance velocity, and at the same entrance rate of flow, the maximum value of shear stress in pulsatile state was much higher than that in the steady state condition; (4) the length growth of the cell depended on the values of average maximum shear stress on the surface; and (5) the calculated results could be used to explain the experiment results obtained by Helmilinger.
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