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Pulsatile flow

About: Pulsatile flow is a research topic. Over the lifetime, 6278 publications have been published within this topic receiving 149638 citations.


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Journal ArticleDOI
TL;DR: The results show that the extension and the location of the recirculation zone in the sinus as well as the duration of separated flow during the pulse cycle are affected by the geometrical variations.

124 citations

Journal ArticleDOI
TL;DR: There was a significant reduction in weight, which did not correlate with changes in serum testosterone levels, and LH pulsatile release was not altered by training in the subset of 5 runners.
Abstract: Cross-sectional studies have suggested that total and bioavailable testosterone levels are reduced in some male athletes. Such changes may be related to loss of body weight, increased serum cortisol, and/or alterations in LH pulsatile release. To determine how endurance training may affect androgen levels, we measured serum total testosterone, sex hormone-binding globulin, free androgen index, LH, FSH, PRL, cortisol, and weight in 15 previously sedentary males. We also examined pulsatile LH release in a subset of 5 subjects. Over 6 months of training, the men increased weekly running mileage to an average of 56 km/week. Total testosterone and free androgen index levels decreased significantly. PRL and cortisol also decreased, while single sample LH and FSH remained unchanged. There was a significant reduction in weight, which did not correlate with changes in serum testosterone levels. LH pulsatile release was not altered by training in the subset of 5 runners. These data confirm previous findings of physiological reduction in serum testosterone and PRL levels and suggest that the testosterone decrease is not related to changes in LH pulsatile release, weight, or increased serum cortisol levels.

123 citations

Journal ArticleDOI
TL;DR: Although the PIV measurements may lack the accuracy of single point measuring systems, the overall view of the flow in the aortic root region compensates for the shortcoming and allows us to estimate the propensity of shear-induced damage to platelets and red blood cells.

123 citations

Journal ArticleDOI
TL;DR: This study characterizes AV leaflet aortic surface fluid shear stresses using Laser Doppler velocimetry and an in vitro pulsatile flow loop and represents the most well-resolved shear stress measurements to date across a range of conditions on the aorta side of the AV.
Abstract: Aortic valve (AV) calcification is a highly prevalent disease with serious impact on mortality and morbidity. Although exact causes and mechanisms of AV calcification are unclear, previous studies suggest that mechanical forces play a role. Since calcium deposits occur almost exclusively on the aortic surfaces of AV leaflets, it has been hypothesized that adverse patterns of fluid shear stress on the aortic surface of AV leaflets promote calcification. The current study characterizes AV leaflet aortic surface fluid shear stresses using Laser Doppler velocimetry and an in vitro pulsatile flow loop. The valve model used was a native porcine valve mounted on a suturing ring and preserved using 0.15% glutaraldehyde solution. This valve model was inserted in a mounting chamber with sinus geometries, which is made of clear acrylic to provide optical access for measurements. To understand the effects of hemodynamics on fluid shear stress, shear stress was measured across a range of conditions: varying stroke volumes at the same heart rate and varying heart rates at the same stroke volume. Systolic shear stress magnitude was found to be much higher than diastolic shear stress magnitude due to the stronger flow in the sinuses during systole, reaching up to 20 dyn/cm2 at mid-systole. Upon increasing stroke volume, fluid shear stresses increased due to stronger sinus fluid motion. Upon increasing heart rate, fluid shear stresses decreased due to reduced systolic duration that restricted the formation of strong sinus flow. Significant changes in the shear stress waveform were observed at 90 beats/min, most likely due to altered leaflet dynamics at this higher heart rate. Overall, this study represents the most well-resolved shear stress measurements to date across a range of conditions on the aortic side of the AV. The data presented can be used for further investigation to understand AV biological response to shear stresses.

123 citations

Journal ArticleDOI
TL;DR: The behaviour of human and frog red cells, platelets and rigid spheres were studied in the annular vortex formed in steady or pulsatile flow at the sudden concentric expansion of a 151 $\mu$ m into 504 $\mu $ m diameter glass tube.
Abstract: The behaviour of human and frog red cells, platelets and rigid spheres were studied in the annular vortex formed in steady or pulsatile flow at the sudden concentric expansion of a 151 $\mu$ m into 504 $\mu$ m diameter glass tube. During a single orbit the measured particle velocities and paths in steady flow were in good agreement with those calculated for the fluid, predicted by theory to circulate in closed orbits. Over longer periods, however, single blood cells and latex spheres $\mu$ m diameter migrated across the streamlines out of the vortex at a rate depending on the Reynolds number whereas spheres and aggregates of red cells > 30 $\mu$ m diameter remained in the vortex at all Reynolds numbers. Similar behaviour was noted in pulsatile flow when the vortex moved in phase with upstream fluid velocity and particles described spiral orbits of continually changing diameter. With red cell suspensions of 15-45% haematocrit in steady flow, migration of the corpuscles was also observed and resulted in the formation of a particle-free vortex. In pulsatile flow, cells were always present in the vortex, but their concentration which varied periodically was lower than that in the mainstream. The formation of aggregates of latex spheres and human platelets through collisions occurring in orbit, and their migration to the vortex centre was also observed.

122 citations


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Performance
Metrics
No. of papers in the topic in previous years
YearPapers
2023274
2022644
2021172
2020182
2019172
2018189