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hemodynamics
D. S. Sankar Atulya Nagar Ahmad Izani Mohamed
School of Mathematical Sciences, Intelligent and Distributed Ismail
Universiti Sains Malaysia, 11800 Systems Laboratory, School of Mathematical Sciences,
Penang, Malaysia Department of Computer Science, Universiti Sains Malaysia, 11800
sankar_ds@yahoo.co.in Liverpool Hope University, Hope Penang, Malaysia
Park Liverpool, L16 9JD, UK izani@cs.usm.my
nagara@hope.ac.uk
1365
assuming the suspension of all the erythrocytes in the core gradient; Z is the frequency parameter and I is the lead
region as non-Newtonian fluid and the plasma in the radii of the peripheral layer region and core region of the
peripheral layer region as Newtonian fluid [17]. Several stenosed artery. The non-dimensional form of the
researchers used two-fluid flow models for blood flow in constitutive equation of the fluid in flow in the core region
stenosed narrow arteries treating the fluid in the core and peripheral layer region reduce to
region as a non-Newtonian fluid and the fluid in the
peripheral layer as a Newtonian fluid [11, 12, 16]. In this 1 wu H
study, we analyze a two-fluid flow model for pulsatile WH n T if W H t T and R p d r d R 1 z
flow of blood through a narrow artery with mild 2 wr
asymmetric stenosis and under the influence of periodic
body acceleration.
II. MATHEMATICAL MODEL wu H
0 if WH d T and 0 d r d R p
wr
Consider an axially symmetric, laminar, pulsatile and 1 wu N
fully developed unidirectional flow of blood (assumed to WN if R1 z d r d R z
be incompressible) in the presence of periodic body 2 wr
acceleration through a circular artery with an asymmetric
mild stenosis. The walls of the artery are considered as where R P is the plug core radius and T is the yield
rigid and the flowing blood is modeled as a two-fluid
model, assuming the suspension of all erythrocytes in the stress. The boundary conditions are
core region as Herschel-Bulkley (H-B) fluid and the
plasma in the peripheral layer region as Newtonian fluid. WH is finite at r 0
The artery under study is assumed to be too long, so that
the entrance and end effects can be neglected. The wu H
0 at r 0 (7)
geometry of the stenosed artery is shown in Fig.1. wr
Q 4 ³ u r , z ,t r dr
0
(13)
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when we non-dimensionalize the constitutive Eqs. (1) and
(2), the square of the pulsatile Reynolds numbers D2H and wu 0P wu1P
0 and 0 at r 0 (25)
wr wr
D2N occur naturally and also, these are time dependent, it
is appropriate to expand the unknowns u H , u N , WH and W N W0H W0N and W1H W1N at r R1 z (26)
in the perturbation series about D2H and D2N . Let us u 0H u 0 N and u 1H u 1N at r R1 z (27)
expand the plug core velocity u p and the velocity in the
u 0N 0 and u 1N 0 at r R z (28)
core region u H in the perturbation series of powers of
Eqs.(16) – (23) form a system of partial differential
D 2H (where D2H 1 ) as below. equations which can be solved for the unknowns
u 0 H , u1H , W 0 H , W 1H and u 0 N , u1N , W 0 N , W 1N with the
u P z, t u 0P z, t D H
2
u1P z, t .......... (14) help of boundary conditions (24) – (28). On solving this
system with these boundary conditions, one can get the
expression for the unknowns as below.
u H r,z, t u 0H r,z, t DH2 u1H r,z, t .......... (15)
W0P g t R 0P (29)
Similarly, one can expand WP , WH and R P in powers of W 0H g tr (30)
D and u N and W N in powers of D 2N . Substituting the
2
W0 N g t r
H
¬ª g t R ¼º R ®1 ¨ R ¸ ¾ 2 ¬ª g t R1 ¼º
n
resulting equation and then equating the constant terms u 0P
¯° © ¹ °¿ (34)
and D H terms, we get
2
ª n 1 n º
1 ° § q 2 · ½° q 2 ° § q 2 · ½° »
wu R1 « ®1 ¨¨ ¸¸ ¾ ®1 ¨¨ ¸¸ ¾
0H 2 W0H n 1
> W0H n T@ (18) « n 1 ° © R1 ¹ ° R1 ° © R1 ¹ ° »
wr ¬ ¯ ¿ ¯ ¿¼
wu § q 2 · ° § R ·2 ½°
¬ 0H n 1 T º¼
n 2 (19)
1H 2 n W0H W1H ªW 1
W1P ª¬g t R º¼ DR 2 ¨¨ ¸¸ ®1 ¨ 1 ¸ ¾
wr
Applying the perturbation series expansions of
4 © R ¹ ¯° © R ¹ ¿°
u N and W N in Eq. (2) and then equating the constant terms ª¬ g t R1 º¼ D R12
n
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W1N ª¬g t R º¼ D R R1
3 n 2 2n 2
§ q2 ·
n 3
° § r · n 1 ½°
¨ ¸ ®1 ¨ ¸ ¾
ª 1 § r · 1 § R · 2 § R · 1 § R · 2 § r ·3 º 2 n 1 n 2 n 3 ¨© R1 ¸¹ °¯ © R1 ¹ °¿
« ¨ ¸ ¨ 1 ¸ ¨ 1 ¸ ¨ 1 ¸ ¨ ¸ »
«¬ 4 © R1 ¹ 8 © R ¹ © r ¹ 8 © R ¹ © R1 ¹ »¼
3 n 1 n 2 2n 2 § q 2 · n 4 ° § r · n 2 ½° º
¨ ¸ ®1 ¨ ¸ ¾ » (39)
ª n § R 1 · n n 1 2 n 2 n 2 n 3 ©¨ R1 ¹¸ ° © R1 ¹ ° »
¬ª g t R1 ¼º D R12 « ¯ ¿¼
n
¨ ¸
«¬ 2 n 3 © r ¹ 2 n 2
u1P 2 ª¬g t R º¼ DR 2 R1
§ q 2 · § R1 · 3 n 2n 2 § q 2 · § R1 · º
2 n 3
ª 3 § R · 1 § R · 1 § R ·3 1 § R · 3 § R ·º
¨ ¸¨ ¸ ¨ ¸ ¨ ¸» (37) « ¨ ¸ ¨ 1 ¸ ¨ 1 ¸ ¨ 1 ¸ log ¨ 1 ¸ »
© R1 ¹ © r ¹ 2 n 2 n 3 © R1 ¹ © r ¹ »¼ «¬ 32 © R1 ¹ 8 © R ¹ 32 © R ¹ 8 © R ¹ © R ¹ »¼
u1N 2 ª¬g t R º¼ D R 2 R1 §R ·
2 ª¬ g t R 1 º¼ D R 13 log ¨ 1 ¸
n
ª 1 § R · ° § r · 2 ½° 1 § R ·3 © R ¹
« ¨ ¸ ®1 ¨ ¸ ¾ ¨ 1 ¸ ª n n 1 § q 2 · 3 n 2n 2 § q 2 · º
2 n 3
«¬ 8 © R1 ¹ °¯ © R ¹ °¿ 8 © R ¹ «
n
¨ ¸ ¨ ¸ »
«¬ 2 n 3 2 n 2 © R 1 ¹ 2 n 2 n 3 © R 1 ¹ »¼
§ R · 1 § R · ° § r · °½º
4
log ¨ ¸ ¨ ¸ ®1 ¨ ¸ ¾»
° § R · °½
2
© r ¹ 32 © R1 ¹ ¯° © R ¹ ¿°¼»
n ª¬ g t R 1 º¼ D R 1R 2 ®1 ¨ 1 ¸
n
¾
§R· °¯ © R ¹ °¿
2 ª¬ g t R 1 º¼ D R 13 log ¨ ¸
n
© r ¹ ª 1 ° § q 2 · n 1 ½° n 1 § k 2 · ° § q 2 · n °½ º
(38) « ®1 ¨ ¸ ¾ ¨ ¸ ®1 ¨ ¸ ¾ »
ª n n 1 § q 2 · 3 n 2n 2 § q 2 · º
n 3
« 2 n 1 ¯° © R 1 ¹ ¿°
2
n 2n © R 1 ¹ ° © R 1 ¹ ° »
« ¨ ¸ ¨ ¸ » ¬ ¯ ¿¼
¬«
2 n 3 2 n 2 © R 1 ¹ 2 n 2 n 3 © R 1 ¹ »
¼ 2n ª¬ g t R 1 º¼
2n 1
D R 13
u1H 2 ª¬g t R º¼ D R 2 R 1 ª n ° § q 2 · n 1 ½° n 1 § q 2 · ° § q 2 · n ½°
« ®1 ¨ ¸ ¾ ¨ ¸ ®1 ¨ ¸ ¾
ª 3 § R · 1 § R 1 · 1 § R 1 ·3 1 § R 1 ·3 § R ·º « 2 n 1
2
R 2 n 1 © R 1 ¹ ° © R 1 ¹ °
¬ ¯° © 1 ¹ ¿° ¯ ¿
« ¨ ¸ ¨ ¸ ¨ ¸ ¨ ¸ log ¨ 1 ¸ »
¬« 32 © R1 ¹ 8 © R ¹ 32 © R ¹ 8 © R ¹ © R ¹ ¼»
n § q 2 ·2n 2 ½
° °
®1 ¨¨ ¸¸ ¾
§R · 2 n 1 n 3 °¯ © 1 ¹
2 ª¬g t R 1 º¼ D R 13 log ¨ 1 ¸
n 2 R °¿
©R ¹
n 1 2n 2 6n 3 § q 2 · ° § q 2 ·2n 1 ½°
ª n n n 1 § q 2 · 3 n 2n 2 § q 2 · º
2 n 3
« ¨ ¸ ®1 ¨ ¸ ¾
¨ ¸ ¨ ¸ » n 1 n 2 n 3 2n 1 ¨© R1 ¸¹ °¯ ¨© R1 ¸¹ °¿
«¬ 2 n 3 2 n 2 © R 1 ¹ 2 n 2 n 3 © R 1 ¹ »¼
n 1 ½
n 1 § q 2 · ° § q 2 ·
2
° n 1 § q ·
2 2
° § R · °½
2
n ¬ª g t R 1 ¼º D R 1R 2 ®1 ¨ 1 ¸ ¾
n
¨ ¸ ®1 ¨ ¾
¸ ¨¨ ¸
2 n 1 ¨© R 1 ¸¹ ° ¨© R 1 ¸¹
°¿ 2n © R 1 ¸¹
¯° © R ¹ ¿° ¯
ª 1 ° § r · °½ n 1 § q · ° § r · ½° º»
n 1
2 n½ 2 2 2 2n ½
° § q · ° n 1 § q · ° § q · °
n 2
2
« ®1 ¨ ¸ ¾ ¨ ¸ ® ¨ ¸ ¾
® ¨¨
¸¸ ¾ ¨¨ ¸¸ ® ¨¨ ¸¸ ¾
1 1 1
« 2 n 1 ¯° © R 1 ¹ ¿° 2n © R 1 ¹ ° © R 1 ¹ ° »
¯ ¿¼ °¯ © R 1 ¹ °¿ 2n n 2 © R 1 ¹ °¯ © R 1 ¹ °¿
¬
2n 1
2n ª¬ g t R 1 º¼ D R 13 3 n 2 2n 2 § q2 ·
n 3 § q 2 ·n 1 ½
° °
¨ ¸ ®1 ¨¨ ¸¸ ¾
ª ° § r · °½ n 1 § q · ° § r · ½° 2 n 1 n 2 n 3 ¨© R1 ¸¹
n 1 n
2
n R
°¯ © 1 ¹ °¿
« ®1 ¨ ¸ ¾ ¨ ¸ ®1 ¨ ¸ ¾
¬ 2 n 1
« °¯ © R 1 ¹ °¿ 2 n 1 © R 1 ¹ °¯ © R 1 ¹ °¿
2
3 n 1 n 2 2n 2 § q 2 · n 4 ° § q 2 · n 2 ½° º
° § r · 2n 2 ½° ¨ ¸ ®1 ¨¨ ¸¸ ¾ » (40)
n 2 n 2 n 2 n 3 ¨© R 1 ¸¹ °¯ © R 1 ¹ °¿ ¼»
®1 ¨ ¸ ¾
2 n 1 n 3 °¯ © R1 ¹
2
°¿ Where
n 1 2n 6n 3 § q · ° § r ·
2 2 2n 1 ½
°
D ª¬1 g t º¼ dg t dt , r W
0P T
R 0P T g t q2 and
¨ ¸ ®1 ¨ ¸ ¾
n 1 n 2 n 3 2n 1 ¨© R1 ¸¹ °¯ © R1 ¹ gt 1 e cos t B cos Zt I . . The expression for
°¿
n 1 ½ velocity u H can easily be obtained from Eqs. (15), (33)
n 1 § q 2 · ° § r ·
2
° n 1 § q ·
2 2
¨ ¸ ®1 ¨ ¸ ¾ ¨¨ ¸ and (39). Similarly, the expressions for u N , W H and W N
2 n 1 ¨© R1 ¸¹ ° © R1 ¹ °¿ 2n © R1 ¸¹
¯ can be obtained. From Eq. (13) and Eqs. (32) - (34), (36) –
° § r · n ½° n 12 § q 2 · 2 ° § r · 2n ½° (40), the expression for volume flow rate is obtained as
®1 ¨ ¸ ¾ ¨ ¸ ®1 ¨ ¸ ¾ below.
2n n 2 ¨© R1 ¸¹ ° © R1 ¹ °
¯° © 1 ¹ ¿°
R
¯ ¿ ª R0P
R1
Q 4 « ³ u 0P DH 2 u1P r dr ³ u 0H DH 2 u1H r dr
«¬ 0 R 0P
1368
° n n n 1 § q 2 · 3 n 2n 2 § q 2 · ½°º
n 3
º 2
R
³ u 0N D 2 u1N r dr » ® ¨ ¸ ¨ ¸ ¾»
¯°
R1 »¼ 4 n 3 4 n 2 © R1 ¹ 4 n 2 n 3 © R1 ¹ °»
¿¼
° § R ·2 ½° (41)
4 ª¬g t R º¼ R 3 ®1 ¨ 1 ¸ ¾
¯° © R ¹ ¿° The shear stress WH W0H DH2 W1H at r R P is given by
ª§ q 2 ·2 1 ° § R · 2 ½°º W0H DH
2
W1H T (42)
«¨ ¸ ®1 ¨ 1 ¸ ¾» r RP
«¬© R1 ¹ 4 ¯° © R ¹ ¿°»¼ Eq. (42) reflects the fact that on the boundary of the
plug core region, the shear stress is the same as the yield
4 ª g t R1 º¼ R
n 3
¬
1
stress. Using the Taylor’s series of W 0 H and W 1H
n 2 n 3
about R 0P and using W0H r R 0P
T , we get
n 3
ª § q2 · § q2 · º
« n 2 n n 3 ¨ ¸ n 2 2n 2 ¨ ¸ » ª º
«¬ © R1 ¹ © R1 ¹ »¼
R1P¬ª1 g t ¼º ¬ W1H r R 0P ¼ (43)
4D H ª¬ ª¬ g t R º¼ D R R 1
2 2 3 Using Eqs. (31), (37) and (43) in the two term
approximated perturbation series expansion of R P , one
can get the expression for plug core radius as
° 3 § R · 1 § R1 · 1 § R1 · 1 § R1 · § R1 · °½
3 3
® ¨ ¸ ¨ ¸ ¨ ¸ ¨ ¸ log ¨ ¸ ¾ § DD 2H R 2 · § q2 · ° § R1 · 2 ½°
°¯ 32 © R1 ¹ 8 © R ¹ 32 © R ¹ 8 © R ¹ ¸¸ ¬ ¼
© R ¹ °¿ RP k2 ¨
¨
ªg t R º ¨¨ R ¸¸ ®1 ¨© R ¸¹ ¾
© 4 ¹ © ¹ ¯° ¿°
§R ·
ª¬g t R1 º¼ D R15 log ¨ 1 ¸
n
©R¹
n D D 2H R12 2
n °§ q ·
ª¬g t R1 ¼º ®¨ ¸
n 2 1 § q2 ·2 § q2 ·n 2 ½°
° n n n 1 § q 2 · 3 n 2n 2 § q 2 · ½°
n 3
2
¨ ¸ ¨ ¸ ¾
2 n 1 R n © R1 ¹ © R 1 ¹ °
® ¨ ¸ ¨ ¸ ¾ ¯°© 1 ¹ ¿
¯°
2 n 3 2 n 2 © R1 ¹ 2 n 2 n 3 © R1 ¹ °
¿ (44)
The longitudinal impedance to flow in the artery is
° § R · °½
2
n ª¬ g t R 1 º¼ D R 2 R 13 ®1 ¨ 1 ¸ ¾
n
given by
¯° © R ¹ ¿° / ª¬ g t º¼ Q (45)
° n 1 § q 2 · n n 5 § q 2 · ½°
2 n 3
1 when R1 R , the present model reduces to the single-
® ¨ ¸ ¨ ¸ ¾
°̄ 4 n 3 4 n 2 © R 1 ¹ 4 n 2 n 3 © R 1 ¹ °¿ fluid H-B model and in such case, the expressions obtained
in the this model for velocity u H , shear stress W H , wall
2n 1
n ª¬g t R 1 º¼ D R 15 shear stress W w , flow rate Q and plug core radius R P are in
° n n n 1 4n 12n 5 2
§ q2 · good agreement with those of Sankar and Izani [11].
® ¨ ¸
°̄ 2 n 2 n 3 n 2 n 3 2n 1 2n 3 © R 1 ¹
2 IV. NUMERICAL SIMULATION OF RESULTS AND
n n 1
2
§ q2 · DISCUSSION
¨ ¸
2 n 1 n 2 ¨© R1 ¸¹ The aim of this study is to bring out the effects of the
n 3
2n 11n 6
2
§ q2 · n 3 asymmetry of the stenosis, body acceleration, pulsatility of
the flow, power law index, yield stress, peripheral layer
¨ ¸
2 n 1 n 2 n 3 ¨© R1 ¸¹ thickness, and pressure gradient on the plug core radius,
n 1 n 3 2n 2 11n 6 § q 2 ·n 4
plug flow velocity, velocity, wall shear stress, flow rate
¨¨ ¸¸
and longitudinal impedance to flow. The different
2n n 2 n 3 © R1 ¹ parameters used in this analysis and their range of values
4n 5
14n 4 8n 3 45n 2 3n 18 § q 2 · 2n 4 ½° º
»
are given below [12, 18].
Yield stress T: 0 – 0.25; Power law index n: 0.95 –
¨ ¸ ¾»
2n n 1 n 2 n 3 2n 3 ©¨ R1 ¹¸ °¿ ¼» 1.05; Pressure gradient e: 0.5 – 0.8; Body acceleration B: 0
– 2; Frequency parameter Z: 0 – 1; Pulsatile Reynolds
4D N 2 ª¬ ª¬g t R º¼ DR 4 R1 number ratio: 0.2 – 0.7; Pulsatile Reynolds numbers DH
and DN: 0.2 – 0.7; Interface location parameter E: 0.9 – 1.0;
° 1 § R · 3 § R1 · 5 § R1 ·
5
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Figure 2. Variation of plug flow velocity with axial distance for Figure 4. Velocity distribution for different values of m, B, e and GP
different values of m, E, GP and DH with n = 0.95, t = 60q, B = 1, with T = 0.075, n = E = 0.95, and T = 0.075.
T = 0.05, e = 0.5, I = 0.2 and Z = 1.
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TABLE I. PHYSIOLOGICAL DATA FOR DIFFERENT ARTERIES.
Radius
A0 A1
x 10 m x 10 Kg m x 10 Kg m
S. 2 1 2 1
Artery 2 s s
No
TABLE II. ESTIMATES OF MEAN VELOCITY FOR TWO-FLUID AND SINGLE-FLUID BLOOD FLOW MODELS FOR ARTERIES WITH DIFFERENT
RADII.
Mean velocity with body acceleration Mean velocity without body acceleration
parameter. It means that the flow rate increases with the values) reported by Sud and Sekhon [33] are given in
increase of the peripheral layer thickness. The flow rate Table 1 and are used in our study. For arteries with
decreases with the increase of stenosis shape parameter m, different radii, the estimates of the mean velocity for two-
power law index n and yield stress T. But, the decrease in fluid and single-fluid blood flow models in the presence of
the flow rate is significant when the shape parameter m body acceleration and also in the absence of body
increases and is marginal when the power law index n acceleration are computed and given in Table 2. It is
increases and is considerable when the yield stress T noticed that the estimates of the mean velocity decreases
increases. significantly with the increase of the radius of the artery
except for the arteriole. One can also observe that body
D. Longitudinal impedance acceleration influences the mean velocity by increasing its
The variation of longitudinal impedance to flow with magnitude considerably. It is also found that the estimates
stenosis depth GP for different values of E, B and T with I = of the mean velocity of the two-fluid blood flow model are
D = DH = 0.2, e = 0.5, m = 2, z = 4 and t = 45q is shown in marginally higher than that of the single-fluid blood flow
Fig. 6. It is seen that the longitudinal impedance to flow model.
increases slowly (linearly) with the increase of the stenosis
depth from 0 to 0.15 and then it increases rapidly V. CONCLUSION
(nonlinearly) with the increase of the stenosis depth from This study analyzed the two-fluid H-B model for blood
0.15 to 0.25. It is found that the longitudinal impedance to flow through stenosed arteries under periodic body
flow decreases marginally with the increase of the body acceleration and points out many interesting fluid
acceleration B. One can also note that the longitudinal mechanical phenomena due to the presence of the
impedance to flow increases considerably with the increase peripheral layer. It is observed that the velocity increases
of the yield stress T and the interface location parameter E with the increase of the body acceleration, pressure
while the body acceleration parameter B is kept as gradient and the width of the peripheral layer thickness and
constant. It is observed that the impedance to flow for the the behavior reversed when the yield stress and stenosis
two-fluid H-B model is considerably lower than that of the depth increase. It is also found that the flow rate decreases
single-fluid H-B model. with the increase of the stenosis shape parameter, power
law index and yield stress. It is recorded that the presence
of body acceleration and peripheral layer influences the
E. Physiological applications of the model mean velocity by increasing its magnitude significantly in
To emphasize the physiological significance of the all types of arteries. Hence, it is concluded that the effect
present model, the data (for different types of arteries, their of the peripheral layer and body acceleration is to increase
corresponding radii, steady and pulsatile pressure gradient the velocity of the blood flow in stenosed arteries.
1371
ACKNOWLEDGEMENT [9] V. K. Sud and G. S. Sekhon, Arterial flow under periodic body
acceleration, Bull. Math. Biol. 47 (1985) 35 – 52.
This research work was supported by the research [10] E. Belardinelli, E. Ursino and E. Lemmi, A preliminary theoretical
university grant of Universiti Sains Malaysia, Malaysia study of arterial pressure distribution under shock acceleration,
(RU Grant Ref. No: 1001/PMATHS/816088). ASME J. Biomech. Engng. 111 (1989) 233 – 240.
[11] D. S. Sankar and Ahmad Izani Mohamed Ismail, Effect of periodic
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