Synopses & Reviews
Coronary blood flow is blood flow to the heart for its own metabolic needs. In the most common form of heart disease there is a disruption in this flow because of obstructive disease in the vessels that carry the flow. The subject of coronary blood flow is therefore associated mostly with the pathophysiology of this disease, rarely with dynamics or physics. Yet, the system responsible for coronary blood flow, namely the "coronary circulation," is a highly sophisticated dynamical system in which the dynamics and physics of the flow are as important as the integrity of the conducting vessels. While an obstruction in the conducting vessels is a fairly obvious and clearly visible cause of disruption in coronary blood flow, any discord in the complex dynamics of the system can cause an equally grave, though less conspicuous, disruption in the flow. This book is devoted specifically to the dynamics and physics of coronary blood flow. While relevance to the clinical and pathophysiological issues is clearly maintained, the book approaches the subject from a biomedical engineering point of view. With this perspective, the Physics of Coronary Blood Flow complements other treatments of the subject that focus largely on the clinical and pathophysiological issues. The author, originally trained in fluid dynamics, has been teaching and working on the dynamics of blood flow in general and coronary blood flow in particular for the past thirty years and has produced a book that will appeal to physicians, physicists and engineers.
Review
From the reviews: "This is an in-depth study of the dynamics and physics of coronary blood flow ... . The author who is an engineer/mathematician spares no details and is very, very thorough in his exposition. ... I would like to commend the author for providing many helpful figures and flow charts to ease the transition from concepts to mathematics and beyond. ... you will enjoy it for its content and retain it as a valuable reference." (H. W. Vayo, Mathematical Reviews, Issue 2006 g) "This book is devoted to the study of a very complex subject - the dynamics and physics of coronary blood flow - which the author defines as the blood flow to the heart for its own metabolic needs. ... This book deserves high praise. The clarity of its writing and the sequence and demonstrated mastery of the contents make it 'an easy to read' and 'an easy to understand' fascinating text. I strongly recommend it to all researchers in the field and to all libraries." (Harold Ramkissoon, Zentralblatt MATH, Vol. 1121 (23), 2007)
Synopsis
Coronary blood flow is blood flow to the heart for its own metabolic needs. In the most common form of heart disease there is a disruption in this flow because of obstructive disease in the vessels that carry the flow. The subject of coronary blood flow is therefore associated mostly with the pathophysiology of this disease, rarely with dynamics or physics. Yet, the system responsible for coronary blood flow, namely the coronary circulation, is a highly sophisticated dynamical system in which the dynamics and physics of the flow are as important as the integrity of the conducting vessels.
This book is devoted specifically to the dynamics and physics of coronary blood flow. While it upholds the clinical and pathophysiological issues involved, the book focuses on dynamics and physics, approaching the subject from a strictly biomedical engineering viewpoint. The rationale for this approach is simply that the coronary circulation involves many issues in dynamics and physics, as the book will demonstrate.
Synopsis
The fields of biological and medical physics and biomedical engineering are broad, multidisciplinary and dyanmic. They lie at the crossroads of frontier - search in physics, biology, chemistry, and medicine. The Biological & Me- cal Physics/Biomedical Engineering Series is intended to be comprehensive, covering a broad range of topics important to the study of the physical, che- cal and biological sciences. Its goal is to provide scientists and engineers with textbooks, monographs, and reference works to address the growing need for information. Books in the series emphasize established and emergent areas of science - cluding molecular, membrane, and mathematical biophysics; photosynthetic - ergy harvesting and conversion; information processing; physical principles of genetics; sensory communications; automata networks, neural networks, and cellular automata. Equally important will be coverage of applied aspects of b- logical and medical physics and biomedical engineering such as molecular el- tronic components and devices, biosensors, medicine, imaging, physical prin- ples of renewable energy production, advanced prostheses, and environmental control and engineering. Elias Greenbaum Oak Ridge, TN M. Zamir Department of Applied Mathematics University of Western Ontario London, Ontario, N6A 5B7 CANADA
[email protected] Library of Congress Cataloging-in-Publication Data Zamir, M. (Mair) The physics of coronary blood flow / M. Zamir. p. cm. -- (Biological and medical physics, biomedical engineering) Includes bibliographical references and index. 1. Coronary circulation. 2. Hemodynamics. 3. Blood flow. I. Title. II. Series. QP108.Z36 2005 612.1?7--dc22 2005042502 ISBN-10: 0-387-25297-5 e-ISBN: 0-387-26019-6 Printed on acid-free paper.
Synopsis
Dynamics, of fluid or solid objects, is a branch of physics, engineering, and applied mathematics and, as yet, it is not a branch of medicine. Coronary heart disease, on the other hand, is a branch of medicine that, as yet, does not include the dynamics of coronary blood flow. This book is dedicated to bridging these two seemingly disparate ends. The rise of biomedical engineering and biophysics in recent years attests to the need for this genre of books. The challenge is to produce a book that speaks successfully on both sides of the fence.
Synopsis
This book is devoted to the dynamics and physics of coronary blood flow. While it recognizes the range of clinical and pathophysiological issues involved, the book focuses on dynamics and physics, approaching the subject from a biomedical engineering viewpoint. With this approach, the book will complement other books on the subject that have so far focused largely on clinical and pathophysiological issues. The author, originally trained in fluid dynamics, has been teaching and working on the dynamics of blood flow in general and coronary blood flow in particular for the past thirty years and has produced a book that will appeal to physicians, physicists and engineers.
About the Author
The author, originally trained in fluid dynamics, has been teaching and working on the dynamics of blood flow in general and coronary blood flow in particular for the past thirty years and has produced a book that will appeal to physicians, physicists and engineers.
Table of Contents
The Lone Pump. -Heart "Disease"? . -Origin of Coronary Blood Supply. -Coronary Arteries. -Left/Right Dominance. -Branching Structure. -Underlying Design?. -Coronary Flow Reserve.- Design Conflict?. -Summary. -Modelling Preliminaries. -Why Modelling?. -The "Lumped Model" Concept. -Flow in a Tube. -Fluid Viscosity: Resistance to Flow. -Fluid Inertia: Inductance. -Elasticity of the Tube Wall: Capacitance. -Elasticity of the Tube Wall: Wave Propagation. -Mechanical Analogy. -Electrical Analogy. -Summary. -Basic Lumped Elements. -Introduction. -RLC System in Series. -Free Dynamics of the RLC System in Series. -R1,R2 in Parallel. -R,L in Parallel. -R,C in Parallel. -RLC System in Parallel Under Constant Pressure. -RLC System in Parallel Under Constant Flow. -Summary. -Forced Dynamics of the RLC System. -Introduction. -The Particular Solution. -Using the Complex Exponential Function. -Overdamped Forced Dynamics. -Underdamped Forced Dynamics. -Critically Damped Forced Dynamics. -Transient and Steady States. -The Concept of Reactance. -The Concepts of Impedance, Complex Impedance. -Summary. -The Analysis of Composite Waveforms. -Introduction. -Basic Theory. -Example: Single-Step Waveform. -Example: Piecewise Waveform. -Numerical Formulation. -Example: Cardiac Waveform. -Summary. -Composite Pressure-Flow Relations. -Introduction. -Composite Pressure-Flow Relations Under Pure Resistance. -Example: Cardiac Pressure Wave. -Composite Pressure-Flow Relations Under General Impedance. -Composite Pressure-Flow Relations Under Inertial Effects. -Composite Pressure-Flow Relations Under Capacitance Effects. -Composite Pressure-Flow Relations Under RLC in Series. -Composite Pressure-Flow Relations Under RLC in Parallel. -Summary. -Lumped Models. -Introduction. -LM0: {R,C}. -LM1: {R1,{R2+C}}. -LM2: {{R1+L},{R2+C}}. -LM3: {{R1+(pb)},{R2+C}}. -Inflow-Outflow. -Summary. -Elements of Unlumped-Model Analysis. -Introduction. -The Streamwise Space Dimension. -Steady Flow along Tube Segments. -Steady Flow Through a Bifurcation. -Pulsatile Flow in a Rigid Tube. -Pulsatile Flow in an Elastic Tube. -Wave Reflections. -Summary. -Basic Unlumped Models. -Introduction. -Steady Flow in Branching Tubes. -Pulsatile Flow in Rigid Branching Tubes. -Elastic Branching Tubes. -Effective Impedance, Admittance. -Pulsatile Flow in Elastic Branching Tubes. -Cardiac Pressure Wave in Elastic Branching Tubes. -Summary. -Dynamic Pathologies. -Introduction. -Magic Norms? -Coronary Heart Disease, Physical Exercise, and the Conundrum of Coronary Flow Reserve. -Wave Propagation Through a Coronary Bypass. -Wave Propagation Through a Coronary Stent. -Sudden Cardiac Death. -Broken Heart Syndrome. -Summary. -References. -Index.