Lwcture 20 Part 2 Flashcards
Volumetric flow rate for a short segment is
Constant
Usually talking about a stenosis
Continuity rule equation
Q= Vavg x A
Q- volumetric flow rate (mL/s)
Vavg - average velocity (cm/s)
A - cross- sectional area (cm^2)
A decrease in area of tube means
There must be an increase in velocity to keep the same amount of blood going through
Initally as A decreases, V goes _______, to keep Q _______
Up
Constant
At A= 75%
The vessel resistance increases
Q starts to go down, eventually becoming 0 — occlusion
V keeps going up to compensate decrease in A, but eventually goes down as well at near occlusion
Q at 0 is called
Occlusion
If we can figure out how fast the blood is going at a stenosis then
We can figure out how much it is stenosed
The speed will determine the severity of the disease
Sound produced by stenosis
Brute
If radius is decrease by 2x then area is
Decreased 4 times
If radius is decreased 2x then velocity will
4x
Difference between the two equations for Q
Q=Vavg x A —> short segments (stenosis)
Q=P(pi)(d^4)/128Ln —> long straight tube
Bernoulli effect
Decrease in pressure in regions of high flow speed (at stenosis)
Velocity reciprical of pressure
Before a stenosis the pressure
Goes up to push blood through stenosis
At stenosis pressure goes
Down to maintain energy
Pressure energy —> flow energy
After stenosis
Flow energy becomes pressure energy