Pulse velocities in cylindrical, tapered and curved anisotropic elastic arteries.
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Biomedical subjects
Publications and source records attributed to I Mirsky.
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Assuming a spherical geometry for the left ventricle and a cylindrical geometry for arteries, wall stresses and elastic stiffnesses are evaluated on the basis of a large elastic deformation theory. On the basis of canine pressure-volume data, the numerical results indicate marked gradients of stress in the endocardial layers even for thin-walled vessels, a result not predicted by the classical theory of elasticity. These high gradients of stress are due to the fact that the elastic stiffness of the wall material increases with the stress which reaches maximum levels in the endocardial layers. The high stresses may be responsible for ischemia of the left ventricle and be a triggering mechanism for atherosclerosis.
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A set of stress differential equations of equilibrium is presented for a thick prolate spheroid which is the assumed shape for the left ventricle. An analysis for the stresses in the ventricular wall indicates that maximum stresses occur at the inner layers and decrease to a minimum at the epicardial surface, a result that is partially validated by experiment. Simple expressions are available for the evaluation of maximum stresses which occur at the equator and are suitable for small laboratory-oriented digital computers employed in the clinical evaluation of patient status. The surprising result is that Laplace's law yields practical values for mean stresses in thick-walled ventricles.
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The problem of pressure wave propagation through a viscous fluid contained in an orthotropic elastic tube is considered in connection with arterial blood flow. Solutions to the fluid flow and elasticity equations are obtained for the presence of a reflected wave. Numerical results are presented for both isotropic and orthotropic elastic tubes. In particular, the pressure pulse, flow rate, axial fluid velocity, and wall displacements are plotted vs. time at various stations along the ascending aorta of man. The results indicate an increase in the peak value of the pressure pulse and a decrease in the flow rate as the pulse propagates away from the heart. Finally, the velocity of wave propagation depends mainly on the tangential modulus of elasticity of the arterial wall, and anisotropy of the wall accounts in part for the reduction of longitudinal movements and an increase in the hydraulic resistance.
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