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Factors Influencing Vortex Development in a Model of a Skeletal Muscle Ventricle

机译:骨骼肌心室模型中影响涡旋发展的因素

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AbstractA video technique was used to visualize flow patterns in a pulsatile model of a skeletal muscle ventricle (SMV). The shape and duration of SMV filling/emptying curves were determined by the stroke action of a computer‐controlled piston pump. In this way we examined the effect of filling duration and injection volume on the flow structures. To simulate the interaction between the left ventricle and the SMV in the proposed clinical application, two filling/emptying regimes were employed with the period of each SMV cycle being either equal to or twice that of a typical cardiac cycle. Vortex formation at the inlet to the ventricle was a feature of both flow cycles during filling for all the combinations of injection volume and filling duration considered. When a pacing ratio of 1:1 was simulated, SMV filling was immediately followed by ejection, and the formed vortex was expelled. Under this flow regime, fluid in the apical end of the ventricle remained undisturbed. When the pacing ratio was 2:1, however, the quiescent period that followed filling allowed time for the formed vortex to travel a significant distance toward the apical end of the ventricle. Under certain conditions of injection volume and flow rate, the vortex reached the apex by the end of the quiescent period. We suggest that a ventricle connected to the aorta by a single, valveless conduit would require a flow regime that included a significant period of quiescence after filling. This would allow the vortex to reach and displace blood that would otherwise stagnate in the apex, thereby reducing the risk of thrombus formatio
机译:摘要采用视频技术对骨骼肌心室(SMV)搏动模型的血流模式进行可视化。SMV填充/排空曲线的形状和持续时间由计算机控制的柱塞泵的冲程作用确定。通过这种方式,我们研究了填充时间和注射量对流动结构的影响。为了模拟左心室和 SMV 之间的相互作用,在拟议的临床应用中,采用了两种充盈/排空方案,每个 SMV 周期的周期等于或两倍于典型心动周期。在所考虑的注射量和充填持续时间的所有组合中,在心室入口处形成涡流是充填过程中两个流动周期的特征。当模拟起搏比为1:1时,SMV填充后立即喷射,并排出形成的涡流。在这种流动状态下,心室顶端的液体不受干扰。然而,当起搏比为 2:1 时,充盈后的静止期允许形成的涡流有时间向心室的顶端行进相当远的距离。在一定的注入体积和流速条件下,涡旋在静止期结束时达到顶点。我们建议,通过单个无瓣导管连接到主动脉的心室需要一种流速状态,包括充盈后有一段相当长的静止期。这将使涡流能够到达并置换原本会停滞在顶点的血液,从而降低血栓形成的风险。

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