Effects of Ageing on Aortic Circulation During Atrial Fibrillation; a Numerical Study on Different Aortic Morphologies
Miller, Christopher A.
Keshmiri, Amir; orcid: 0000-0003-4747-277X; email: email@example.com
MetadataShow full item record
AbstractAbstract: Atrial fibrillation (AF) can alter intra-cardiac flow and cardiac output that subsequently affects aortic flow circulation. These changes may become more significant where they occur concomitantly with ageing. Aortic ageing is accompanied with morphological changes such as dilation, lengthening, and arch unfolding. While the recognition of AF mechanism has been the subject of numerous studies, less focus has been devoted to the aortic circulation during the AF and there is a lack of such investigation at different ages. The current work aims to address the present gap. First, we analyse aortic flow distribution in three configurations, which attribute to young, middle and old people, using geometries constructed via clinical data. We then introduce two transient inlet flow conditions representative of key AF-associated defects. Results demonstrate that both AF and ageing negatively affect flow circulation. The main consequence of concomitant occurrence is enhancement of endothelial cell activation potential (ECAP) throughout the vascular domain, mainly at aortic arch and descending thoracic aorta, which is consistent with some clinical observations. The outcome of the current study suggests that AF exacerbates the vascular defects occurred due to the ageing, which increases the possibility of cardiovascular diseases per se.
CitationAnnals of Biomedical Engineering, volume 49, issue 9, page 2196-2213
PublisherSpringer International Publishing
DescriptionFrom Springer Nature via Jisc Publications Router
History: received 2020-11-09, registration 2021-02-01, accepted 2021-02-01, pub-electronic 2021-03-02, online 2021-03-02, pub-print 2021-09
Publication status: Published