• Title/Summary/Keyword: Hemodynamic Hypotheses

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A Comparative Study of the Hemodynamic Hypotheses for the Generation of Atherosclerosis (동맥경화증의 발생에 관한 혈류역학적 가설들에 대한 비교연구)

  • Suh, Sang-Ho;Cho, Min-Tae;Roh, Hyung-Woon;Kwon, Hyuck-Moon
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.1915-1918
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    • 2003
  • Atherosclerosis, which is a degenerate disease, is believed to occur in the vascular system due to deposition of cholesterol and low density lipoprotein(LDL) or thrombosis on the blood vessel. Atherosclerosis narrows arterial lumen, which is known as stenosis phenomenon of blood vessel. Pathogenesis of atherosclerosis is thought to occur mainly by aging. Restenosis phenomenon is observed in the same site of insertion of a stent and balloon angioplasty after treatment of interventional theraphy. Several hypothetical theories related to the generation of atherosclerosis have been reported: high shear stress theory, low shear stress theory, high shear stress gradient theory, flow separation and turbulence theory and high pressure theory. However, no one theory clearly explains the causes of atherosclerosis. In the present study the generation of atherosclerosis in the left coronary artery is investigated. The hypotheses are verified by using the computer simulation.

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Significance of Hemodynamic Effects on the Generation of Atherosclerosis

  • Suh Sang-Ho;Roh Hyung-Woon;Kim Dong-Joo;Kwon Hyuck-Moon;Lee Byoung-Kwon
    • Journal of Mechanical Science and Technology
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    • v.19 no.3
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    • pp.836-845
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    • 2005
  • Atherosclerosis, which is a degenerative vascular disease, is believed to occur in the blood vessels due to deposition of cholesterol or low density lipoprotein (LDL). Atherosclerotic lumen narrowing causes reduction of blood flow due to hemodynamic features. Several hypothetical theories related to the hemodynamic effects have been reported : high shear stress theory, low shear stress theory, high shear stress gradient theory, flow separation and turbulence theory, and high pressure theory. However, no one theory clearly explains, the causes of atherosclerosis. The objective of the present study was to investigate the mechanism of the generation of atherosclerosis. In the study, the database of Korean carotid and coronary arteries for geometrical and hemodynamic clinical data was established. The atherosclerotic sites were predicted by the computer simulations. The results of the computer simulation were compared with the in vivo experimental results, and then the pathogenesis of atherosclerosis by using the clinical data and several hypothetical theories were investigated. From the investigation, it was concluded carefully that the mechanism of the generation of atherosclerosis was related to the hemodynamic effects such as flow separation and oscillatory wall shear stress on the vessel walls.

Computational analysis of the hemodynamic changes in human cardiovascular system after space flight (우주비행 직후 인체 심혈관계의 혈류역학적 변화에 대한 수치적 연구)

  • Shim E. B.;Ko H. J.;Heldt T.;Kamm R. D.;Mark R. G.
    • 한국전산유체공학회:학술대회논문집
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    • 2000.10a
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    • pp.123-128
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    • 2000
  • Orthostatic stress in human cardiovascular system following spaceflight remains a critical problem in the current lifercience space program. The study presented in this paper is part of an ongoing effort to use mathematical models to investigate the effects of gravitational stresses on the cardiovascular system of normals and microgravity adapted individuals. We employ a twelve compartment lumped parameter representation of the hemodynamic system coupled to set-point models of the arterial baroreflex and the cardiopulmonary reflex to investigate the transient response of heart rate to orthostatic stress. We simulate current hypotheses concerning the mechanisms underlying postspaceflight orthostatic intolerance over a range of physiologically reasonable values and compare the simulations to astronaut stand-test data pre-and postflight.

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A Study of the Hemodynamic Hypotheses for the Progression of Atherosclerosis

  • Lee, Byeong-Gwon;No, Hyeong-Un;Seo, Sang-Ho;Gwon, Hyeok-Mun
    • 순환기질환의공학회:학술대회논문집
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    • 2004.11a
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    • pp.11-12
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    • 2004
  • 본 연구에서는 동맥경화증의 발생에 관한 가설들을 혈류역학적 관점에서 비교/검토하였다. 혈류의 와류 현상, 분리현상 등도 역시 저전단응력 위치에서 발생하게 되며 동맥경화의 발생이 되기 시작하며 동맥내 형태학적 변화로 인해 이러한 현상이 좀더 복잡한 유동을 거치게 된다. 이로 인해 동맥내의 형태적 재형성이 일어나게 되는데 유동의 변화가 역할을 하는 것으로 생각된다. 생물학적으로 동맥경화는 질병의 성격이 만성 염증성 질환으로 알려져 있는데 이러한 생물학적 변성이 발생하는데 형태적 특성에 따른 혈류역학적 변화가 그 기전에 중요한 것임을 확인되었다. 본 연구자 등은 동맥경화가 발생하기 시작하는 곳은 혈관의 만곡부, 분지부 등에서 발생하는 것을 임상적 database를 통해 확인하였고 이 위치에서 영상을 simulation model을 동생 분석하여 전단응력의 영향과 시간에 따른 역동적 변화가 큰 것을 확인하였다.

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