An open loop 0D-3D modeling of pulsatile hemodynamics for the diagnosis of a suspected coronary arterial disease with patient data

Abstract

Due to the high degree of curvature of the coronary arteries, normal blood flow patterns are disrupted, making them susceptible sites for stenosis and atherosclerosis, leading to decrease in flow. Myocardial ischemia and infarction are the results of this reduced myocardial flow perfusion. Therefore, we conducted an extensive hemodynamic analysis on a patient suspected to have chest pain because of coronary artery disease in order to recognize the processes behind behaviors instigated by intricate geometry of the coronary artery. First, using coronary computed tomography angiography data, which were obtained from an ethically approved data provider, a patient-specific model was reconstructed. Open-circuit resemblance lumped parameter network coupled with zero-three dimensional (0D-3D) model was built to mimic coronary pressure and flow. Hemodynamic parameters such as the flow streamlines, time-average wall shear stress, oscillatory shear index, flow rate, and relative resilience time were investigated using computational fluid dynamics. It is critical for cardiac specialists to adequately care for their patients and provide corrective therapies at early onset of coronary problems caused by myocardial infarctions and demand coronary bypass surgery and stenting. The open loop modeling approach with lumped parameter-based physiologically and geometrically realistic outflow pressures will assist cardiologists in analyzing blood dynamics using the medically imaged coronary arteries of their patients and computing the magnitude of the hemodynamic parameters to provide them with a reliable assessment of the risk of coronary arterial disease for their patients.