Evidence map›Paper›PMID 29954323›Full record

ArticleBMC cardiovascular disorders2018

Numerical analysis of the impact of flow rate, heart rate, vessel geometry, and degree of stenosis on coronary hemodynamic indices.

Zbigniew Malota, Jan Glowacki, Wojciech Sadowski, Marcin Kostur

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 82 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Zbigniew MalotaBiocybernetics Laboratory, Prof. Z. Religa Foundation of Cardiac Surgery Development, Wolnosci st. 345a, 41-800, Zabrze, Poland. zmalota@frk.pl.ORCID 0000-0003-2853-7814
Jan GlowackiDepartment of Radiology, Silesian Medical University, 3-go Maja st. 13/15, 41-800, Zabrze, Poland.
Wojciech SadowskiBiocybernetics Laboratory, Prof. Z. Religa Foundation of Cardiac Surgery Development, Wolnosci st. 345a, 41-800, Zabrze, Poland.
Marcin KosturInstitute of Physics, University of Silesia, 75 Pułku Piechoty st. 1, 41-500, Chorzow, Poland.
Foundation of Cardiac Surgery Development · PLInstitute of Physics · PLMedical University of Silesia · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe stenosis of the coronary arteries is usually caused by atherosclerosis. Hemodynamic significance of patient-specific coronary stenoses and the risk of its progression may be assessed by comparing the hemodynamic effects induced by flow disorders. The present study shows how stenosis degree and variable flow conditions in coronary artery affect the oscillating shear index, residence time index, pressure drop coefficient and fractional flow reserve. We assume that changes in the hemodynamic indices in relation to variable flow conditions and geometries evaluated using the computational fluid dynamics may be an additional factor for a non-invasive assessment of the coronary stenosis detected on multi-slice computed tomography.

methodsThe local-parametrised models of basic shapes of the vessels, such as straight section, bend, and bifurcation as well as the global-patient-specific models of left coronary artery were used for numerical simulation of flow in virtually reconstructed stenotic vessels. Calculations were carried out for vessels both without stenosis, and vessels of 10 to 95% stenosis. The flow rate varied within the range of 20 to 1000 ml/min, and heart rate frequency within the range of 30 to 210 cycles/min. The computational fluid dynamics based on the finite elements method verified by the experimental measurements of the velocity profiles was used to analyse blood flow in the coronary arteries.

resultsThe results confirm our preliminary assumptions. There is significant variation in the coronary hemodynamic indices value caused by disturbed flow through stenosis in relation to variable flow conditions and geometry of vessels.

conclusionVariations of selected hemodynamic indexes induced by change of flow rate, heart rate and vessel geometry, obtained during a non-invasive study, may assist in evaluating the risk of stenosis progression and in carrying out the assessment of the hemodynamic significance of coronary stenosis. However, for a more accurate assessment of the variability of indices and coronary stenosis severity both local (near the narrowing) and global (in side branches) studies should be used.

Indexed as

Computed Tomography AngiographyCoronary CirculationHeart RateMultidetector Computed TomographyPatient-Specific ModelingBlood Flow VelocityCoronary AngiographyCoronary StenosisCoronary VesselsHumansModels, CardiovascularNumerical Analysis, Computer-AssistedPredictive Value of TestsRadiographic Image Interpretation, Computer-AssistedRegional Blood FlowSeverity of Illness IndexComputational fluid dynamicsCoronary artery stenosisHemodynamic indices

Identifiers

PMID29954323
PMCPMC6025704
OpenAlexW2809945338

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.