The Importance of Velocity Acceleration to Flow-Mediated Dilation

The validity of the flow-mediated dilation test has been questioned due to the lack of normalization to the primary stimulus, shear stress. Shear stress can be calculated using Poiseuille's law. However, little attention has been given to the most appropriate blood velocity parameter(s) for cal...

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Main Authors: Lee Stoner, Joanna M. Young, Simon Fryer, Manning J. Sabatier
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2012/589213
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author Lee Stoner
Joanna M. Young
Simon Fryer
Manning J. Sabatier
author_facet Lee Stoner
Joanna M. Young
Simon Fryer
Manning J. Sabatier
author_sort Lee Stoner
collection DOAJ
description The validity of the flow-mediated dilation test has been questioned due to the lack of normalization to the primary stimulus, shear stress. Shear stress can be calculated using Poiseuille's law. However, little attention has been given to the most appropriate blood velocity parameter(s) for calculating shear stress. The pulsatile nature of blood flow exposes the endothelial cells to two distinct shear stimuli during the cardiac cycle: a large rate of change in shear at the onset of flow (velocity acceleration), followed by a steady component. The parameter typically entered into the Poiseuille's law equation to determine shear stress is time-averaged blood velocity, with no regard for flow pulsatility. This paper will discuss (1) the limitations of using Posieuille's law to estimate shear stress and (2) the importance of the velocity profile—with emphasis on velocity acceleration—to endothelial function and vascular tone.
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publishDate 2012-01-01
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series International Journal of Vascular Medicine
spelling doaj-art-b1a1eb9ca9e1461080baff2d3c852ffd2025-08-20T03:39:26ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322012-01-01201210.1155/2012/589213589213The Importance of Velocity Acceleration to Flow-Mediated DilationLee Stoner0Joanna M. Young1Simon Fryer2Manning J. Sabatier3School of Sport and Exercise, Massey University, Wellington, New ZealandLipid and Diabetes Research Group, Diabetes Research Institute, Christchurch Hospital, Christchurch, New ZealandSchool of Sciences and Physical Education, University of Canterbury, Christchurch, New ZealandDivision of Biological Sciences, Clayton State University, Morrow, GA, USAThe validity of the flow-mediated dilation test has been questioned due to the lack of normalization to the primary stimulus, shear stress. Shear stress can be calculated using Poiseuille's law. However, little attention has been given to the most appropriate blood velocity parameter(s) for calculating shear stress. The pulsatile nature of blood flow exposes the endothelial cells to two distinct shear stimuli during the cardiac cycle: a large rate of change in shear at the onset of flow (velocity acceleration), followed by a steady component. The parameter typically entered into the Poiseuille's law equation to determine shear stress is time-averaged blood velocity, with no regard for flow pulsatility. This paper will discuss (1) the limitations of using Posieuille's law to estimate shear stress and (2) the importance of the velocity profile—with emphasis on velocity acceleration—to endothelial function and vascular tone.http://dx.doi.org/10.1155/2012/589213
spellingShingle Lee Stoner
Joanna M. Young
Simon Fryer
Manning J. Sabatier
The Importance of Velocity Acceleration to Flow-Mediated Dilation
International Journal of Vascular Medicine
title The Importance of Velocity Acceleration to Flow-Mediated Dilation
title_full The Importance of Velocity Acceleration to Flow-Mediated Dilation
title_fullStr The Importance of Velocity Acceleration to Flow-Mediated Dilation
title_full_unstemmed The Importance of Velocity Acceleration to Flow-Mediated Dilation
title_short The Importance of Velocity Acceleration to Flow-Mediated Dilation
title_sort importance of velocity acceleration to flow mediated dilation
url http://dx.doi.org/10.1155/2012/589213
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