Why the study?
Does pharmacological manipulation of flow alter the velocity profile and shear rate in coronary arteries of dogs?
Does pharmacological manipulation of flow alter the velocity profile and shear rate in coronary arteries of dogs?
This preclinical study demonstrates that coronary artery velocity profiles are skewed away from the inner wall, resulting in lower shear rates along the inner curvature, which may have implications for understanding local hemodynamics and atherogenesis.
Answers are grounded in this paper and cite their sources.
Lower inner-wall shear in canine coronaries may promote focal atherogenesis; leaves open whether flow manipulation alters velocity profiles.
Multiple-range, gate-pulsed Doppler velocimetry was used to examine the velocity profile within the lumen of the left circumflex and left anterior descending coronary arteries of 10 anesthetized, open-chest dogs at rest and after administration of propranolol and intracoronary adenosine. The peak diastolic and mean profiles of velocity were skewed away from the inner walls of the vessels (p less than 0.01). The extent of skewness was not affected by propranolol or adenosine. The shear rates were significantly lower along the inner wall in comparison to the outer wall under all conditions in both the left circumflex and the left anterior descending coronary arteries (p less than 0.017). Irrespective of the levels of flow, therefore, the velocity profiles were skewed away from the inner wall of the coronary arteries. Consequently, the shear rates were lower along the inner walls of the coronary arteries.
No takes yet. Share an insight, caveat, or question.
Bell et al. (1989) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: