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Hemodynamic forces are now known to be the localizing factors in atherogenesis, but conclusions as to the causes of the vessel wall damage are inconsistent. The purpose of the study was examination of the blood flow features in the aortic arch and establishment of the initial factors of atherogenesis. 15 men (age from 27 to 35 years) have been examined by magnetic resonance angiography on Siemens-Sonata-Cardio unit. Blood flow peak systolic velocity changes at the opposite walls of the aortic arch have been revealed. During protodiastole, the flow was found to form opposite directed streams, and a flow arrest with a flat flow profile was noted in discrete sites of the aorta. At these specified places, the peak systolic velocity was found to be low. Blood protodiastolic acceleration was 6 times higher than in the systole, and the shear stress was found to exceed the verge of the endothelial endurance. The circular blood flow at the aortic arch in protodiastole is characterized by a high acceleration, and the gradient pressure in the flat profile can damage the internal layers of the vessel.
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Tom
Strony
65--75
Opis fizyczny
Bibliogr. 8 poz., rys., tab., wykr.
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autor
autor
autor
- MRI Department. Georgian Academy of Sciences Institute of Medical Radiology, 13 Thevdore mgvdeli str. 0112. Tbilisi. Georgia., mberaia@hotmail.com
Bibliografia
- 1. Ross R.: The pathogenesis of atherosclerosis: A perspective for the 1990s. Nature 1993, 362, 801-809.
- 2. Nerem R.M.: Hemodynamics and the vascular endothelium. ASME J. Biomech. Eng. 1993, 115, 510-514.
- 3. LoGerfo F.W., Nowak M.D., Quist W.C. et al.: Flow studies in a model of carotid bifurcation. Arteriosclerosis 1981, 1, 235-241.
- 4. Zarins C.K., Giddens D.P., Bharadvaj B.K., Sottiurai V.S., Mabon R.F., Glagov S.: Carotid bifurcation atherosclerosis. Quantitative correlation of plaque localization with flow velocity profiles and wall shear stress. Circ. Res. 1983, 53, 502-514.
- 5. Shahcheragi N., Dwyer H.A., Cheer A.Y., et al.: Unsteady and three-dimensional simulation of blood flow in the human aortic arch. J. Biomech. Eng., 124.124, August 2002.
- 6. Guyton A.C.: Textbook of Medical Physiology, 7th ed. Philadelphia, W.B. Saunders Co., 1986.
- 7. Fung Y.C.: Biomechanics, Circulation, Second Edition, Springer-Verlag, New York 1997.
- 8. Beraia M.V., Todua F.I.: Blood flow to aorta and its relationship with aortic branches. Europ. Radiology. 2002.12.11, 117-118.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPZ1-0030-0023