A hemodynamic analysis of coronary capillary blood flow based on anatomical and distensibility data. Kassab, Ghassan S., Kha N. Le, and Yuan-Cheng B. Fung. Department of Bioengineering, University of California, San Diego, La Jolla, CA 92093-0412
APStracts 6:0384H, 1999.
An understanding of cardiac health and disease requires knowledge of the various factors that control coronary capillary blood flow. An analysis of coronary capillary blood flow based on a complete set of actual data on the capillary anatomy and elasticity does not exist. Previously, a complete set of data on the branching pattern and the vascular geometry of the pig's coronary capillary network were obtained in our laboratory. In the present study, we have obtained distensibility data on the coronary capillary blood vessels on the epicardial surface using intravital microscopy in the form of pressure-diameter relationship. A mathematical model of the coronary capillary blood flow was then constructed on the basis of measured anatomical and elasticity data of the coronary capillary network, rheology of blood, the physical laws governing blood flow, and the appropriate boundary conditions. The constructed model has been used to examine the heterogeneity of the spatial distribution of coronary blood flow which is an important issue in coronary physiology. One interesting result of the model is that the dispersions of pressure and flow are significantly reduced in the presence of capillary cross-connections (Ccc), and the resistance to flow is reduced as well. Finally, we have found that the compliance of the epicardial surface capillary vessels is so small that its effect on the blood pressure drop is negligible in the diastolic state. However, the compliance of the intramyocardial capillaries remains unknown, and the interaction of the muscle contraction and blood vessel elasticity in systole remains to be studied.

Received 18 February 1999; accepted in final form 30 June 1999.
APS Manuscript Number H159-9.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1999 The American Physiological Society.
Published in APStracts on 9 July 1999