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March 30, 2009AJP Heart and Circulatory Physiology

Patient-specific three-dimensional simulation of LDL accumulation in a human left coronary artery in its healthy and atherosclerotic states

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Key result

Patient-specific computational modeling demonstrated that high-LDL concentration sites in the healthy state correspond to plaque locations, and hypertension increases regions of high-LDL concentration.

Population

Three-dimensional, patient-specific computational model of a human left coronary artery derived from…

Comparison

Computational fluid dynamics simulation of LDL… vs Simulation under normal operating pressure and…

Design

Preclinical

Authors

UOUfuk OlgaçNovartis (Switzerland)DPDimos PoulikakosWinterthur Museum Garden and LibrarySSStefan SaurCarl Zeiss (Germany)

Discussion

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Implication

Supports mechanistic hypotheses on hypertension and plaque progression; leaves open translation to human therapy.

Structured PICO

P
Population
A patient-specific three-dimensional computational model of a human left coronary artery derived from CT images of a single patient with coronary artery disease.
E
Exposure
Computational fluid dynamics simulation of LDL transport under hypertensive operating pressure (120 mmHg) and in a diseased state (with plaque).
C
Comparator
Simulation under normal operating pressure (70 mmHg) and in a healthy state (vessel lumen without detected plaque).
O
Outcome
Spatial shear stress distribution and sites of high LDL concentration/accumulation.surrogate

Patient-specific computational modeling demonstrates that hypertension increases regions of high LDL concentration and that existing plaques alter local hemodynamics to promote downstream LDL accumulation, supporting clinical observations of plaque growth.

Cite This Study

Olgaç et al. (2009) studied Coronary artery disease (n=1). Hypertensive operating pressure (120 mmHg) and diseased arterial state vs. Normal operating pressure (70 mmHg) and healthy arterial state was evaluated on Spatial shear stress distribution and LDL concentration. Patient-specific computational modeling demonstrated that high-LDL concentration sites in the healthy state correspond to plaque locations, and hypertension increases regions of high-LDL concentration.

synapsesocial.com/papers/6a917907388f32339cd2d354https://doi.org/10.1152/ajpheart.01182.2008

Topics

Coronary artery diseaseHypertension managementCoronary CT angiography
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