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EXPERIMENTAL ANALYSIS INTO THE MAIN ARTERY OF 2 CHAMBER
HEART MODEL DURING CARDIAC CYCLE
LOH QUO LIANG
Thesis submitted in fulfilment of the requirements
for the award of the degree of
Bachelor of Mechanical Engineering
Faculty of Mechanical Engineering
UNIVERSITI MALAYSIA PAHANG
JUNE 2013
vii
ABSTRACT
Regarding to the report from World Health Organization (WHO), the most killer disease
throughout the world is cardiovascular disease. There are millions of people deaths
because of this disease every year. So, it is important to study the blood pumping
mechanism in human body and what is the reason causing this device damage or fail to
operate normally in detail. The objective of this study is to develop a heart model for
investigating the patterns of fluid flow, and blood velocity diastolic. This heart model is
able to observe the fluid flow pattern in left and right ventricle in a pressurized pulsate
flow. A detail on fabrication, limitation, future improvement, and problem faced of heart
model are discussed in this study. The whole system will be conduct in a close system
which operated by using the combination of motor, and syringe. The results showed a
relationship between heart beat, velocity, and blood vessel diameter especially for
inferior, and superior vena cava can be establish. The result also proved that the
relationship between heart beat and the velocity, and the difference of pressure between
atrium and ventricle are directly proportional. Additionally, the relationship between
vortex formation and septum in the heart chamber can be established at the end of this
study. In conclusion, this study had succeeded to produce an equation relates to the
velocity, diameter and heart beat in inferior, and superior vena cava. This result can
contribute to future heart study as well as application in medical field.
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ABSTRAK
Menurut laporan World Health Organization (WHO), penyakit jantung merupakan
pembunuh utama di dunia. Berjuta-juta manusia maut akibat penyakit ini setiap tahun.
Jadi, kajian secara teliti pada jantung manusia untuk mengenal pasti kerosakan, dan tidak
berfungsi secara nomal adalah amat penting. Objektif kajian ini adalah untuk membina
model jantung dan menyiasat corak aliran bendalir, dan halaju darah semasa diastolik.
Model jantung ini dapat menyiasat corak aliran cecair dalam ventrikel kiri, dan kanan di
bawah tekanan dan aliran berirama. Prebincangan secara terperinci mengenai fabrikasi,
had, penambahbaikan dan masalah yang dihadapi model jantung juga akan dibincangkan
dalam kajian ini. Seluruh sistem bagi kajian ini akan berada dalam keadaan tertutup dan
konsep untuk model jantung ini adalah berasas kan kombinasi antara picagari dan motor.
Hubungan antara degupan jantung, halaju dan diameter saluran darah terutamanya bagi
inferior dan superior vena cava telah dijumpai. Selain itu, keputusan juga membuktikan
bahawa hubungan antara halaju dan perbezaan tekanan antara atrium dan ventrikel adalah
berkadar terus dengan kadar denyutan jantung. Hubungan antara pembentukan vorteks
dan septum dalam jantung juga dapat dikaji pada akhir kajian ini. Kesimpulannya, kajian
ini telah berjaya untuk mendapatkan persamaan yang berkaitan dengan halaju, diameter
dan denyutan jantung di inferior dan superior vena cava. Keputusan ini berkemungkinan
besar akan menyumbang kepada kajian jantung pada masa hadapan dan juga dapat
aplikasi dalam bidang perubatan.
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TABLE OF CONTENTS
Page
EXAMINER’S DECLARATION ii
SUPERVISOR’S DECLARATION iii
STUDENT’S DECLARATION iv
DEDICATION v
ACKNOWLEDGEMENTS vi
ABSTRACT vii
ABSTRAK viii
TABLE OF CONTENTS ix
LIST OF TABLES xii
LIST OF FIGURES xiii
LIST OF EQUATIONS v
LIST OF SYMBOLS xvii
CHAPTER 1 INTRODUCTION
1.1 Project Background 1
1.2 Problem Statement 2
1.3 Objectives 3
1.4 Scope of Study 3
1.5 Organization of the Thesis 3
CHAPTER 2 LITERATURE REVIEW
2.1 Introduction 4
2.2 Relationship between Leaflet Behaviour and Fluid Flow Pattern 4
2.3 Blood Flow in Left Ventricle 5
x
2.4 Continuous Blood Flow through Mitral Valve 6
2.5 Left Ventricle Deformation 7
2.6 Cardiac Movement Detection 8
2.7 Simulation of cardiac Motion by FEM 9
2.8 Coupling Simulation 10
2.9 Heart Cavity Profile Movement 11
2.10 Fluid Flow Formation in Left Ventricle 12
2.11 Mitral Valve Flow Prediction 13
2.12 Simulation of Blood Flow and Myocardium Muscle Motion of
Left Ventricle
14
2.13 Direct Simulation of Blood Flow in Left Ventricle 15
2.14 Fluid Viscosity in Human Body 16
2.15 Blood Velocity 17
2.16 Analysis 18
2.15.1 Limitation 20
2.15.1 Similarities 20
CHAPTER 3 METHODOLOGY
3.1 Introduction 22
3.2 Overview of the Methodology 22
3.3 Fluid Properties 24
3.4 Heart Valve Selection 26
3.5 System Design 26
3.5.1 Motor Selection and Piping Design 28
3.6 Heart Model Design 29
3.6.1 Calculation of Screw Distance on Perspex 30
3.6.2 Heart Model Curve Equation 31
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3.7 Data Acquisition Equipment 33
3.8 Calculation for Velocity 33
3.8.1 Calculation for Actual Velocity 34
3.8.2 Calculation of Velocity using Bernoulli
Equation
35
3.8.3 Calculation of Velocity Difference 36
CHAPTER 4 RESULT AND DISCUSSION
4.1 Introduction 37
4.2 Design Calculation 38
4.3 Data Obtain from Pressure Gauge 41
4.4 Velocity Derivation 55
4.5 Flow Vortex Formation 62
CHAPTER 5 CONCLUSION AND RECOMONDATION
5.1 Introduction 67
5.2 Conclusions 67
5.3 Recommendation 69
REFERENCES 70
APPENDICES
A Summary of Literature Review 74
B Raw Data Of Velocity 75
C Graph for Pressure Gradient 86
D Drawing and Dimension of Heart Model 93
E Achievement 95
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LIST OF TABLES
Page
2.1 Value of blood viscosity regarding to gender and shear rates 17
2.2 Summary of peak velocity at inferior and superior vena cava 18
3.1 Parameter involved in the calculation 25
4.1 Parameter involve in the calculation for screw distance on
Perspex
38
4.1 Sample result from left ventricle with 46.1538bpm 54
4.2 Comparisons of calculated and actual velocity in inferior vena
cava
60
LIST OF FIGURES
Page
2.1 Comparison of fluid flow vector after the valve from experiment
(a) and numerical (b) for leaflet thickness 0.16mm
5
2.2 3D vortex ring formation shown in simulation 6
2.3 Comparison of the result from MRI scans and modelling
experiment on the vortex formation in left ventricle
7
2.4 The sample of nodes, vector and deformation of the left ventricle 8
2.5 The picture of a normal person echocardiogram and the velocity
movement profile of left ventricle
9
2.6 Left ventricle deformation of simple cell orientation 10
2.7 Simple system configuration 11
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2.8 Red marks in the echocardiogram images represent the segment
being analyze regarding to the displacement and direction
12
2.9 Vortex formation in left ventricle for normal person 13
2.10 Agreement between simulated and measured pressure result for
circular orifice
14
2.11 Meshes on ventricle wall and fluid geometries 15
2.12 Vortex ring formation sequence in left ventricle 16
2.13 Distribution of research focused issue among 12 studied journals 19
3.1 Overview of methodology 23
3.2 Drawing of heart modeling system 27
3.3 Fluid flow direction in the heart model 27
3.4 Actual heart modeling system 28
3.5 Design of left and right ventricle according to the curve equation 29
3.6 Shaded area in this figure shows the position of high pressure
concentration
30
3.7 Right ventricle main body mesh 32
3.8 Left ventricle main body mesh 32
3.9 Crank slider mechanism 34
4.1 Septum at right ventricle curve in Cartesian coordinate 40
4.2 Septum at right ventricle curve in Cartesian coordinate 40
4.3 Pressure reading in right ventricle at 9.5283bpm 41
4.4 Pressure reading in right ventricle at 14.6163bpm 41
4.5 Pressure reading in right ventricle at 15.9362bpm 42
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4.6 Pressure reading in right ventricle at 19.2123bpm 42
.
4.7 Pressure reading in right ventricle at 25.1572bpm 43
4.8 Pressure reading in right ventricle at 29.0556bpm 43
4.9 Pressure reading in right ventricle at 33.7647bpm 44
4.10 Pressure reading in right ventricle at 40.1606bpm 44
4.11 Pressure reading in right ventricle at 42.9799bpm 45
4.12 Pressure reading in right ventricle at 43.9238bpm
45
4.13 Pressure reading in left ventricle at 14.2891bpm 46
4.14 Pressure reading in left ventricle at 20.4638bpm 46
4.15 Pressure reading in left ventricle at 26.8216bpm 47
4.16 Pressure reading in left ventricle at 30.1810bpm 47
4.17 Pressure reading in left ventricle at 38.1436bpm 48
4.18 Pressure reading in left ventricle at 44.5765bpm 48
4.19 Pressure reading in left ventricle at 46.1538bpm 49
4.20 Pressure reading in left ventricle at 46.875bpm 49
4.21 Pressure reading in left ventricle at 47.1698bpm 50
4.22 Pressure different gradient at each heart beat in left ventricle 51
4.23 Maximum velocity different in right ventricle with different heart
beat
56
4.24 Maximum velocity different in left ventricle with different heart
beat
56
4.25 Comparison of calculated velocity and actual peak velocity
61
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4.26 Initial fluid entering for right ventricle 62
4.27 Rapid filling for right ventricle 63
4.28 Fluid discharging for right ventricle 63
4.29 Initial fluid entering for left ventricle 64
4.30 Rapid filling for left ventricle
64
4.31 Fluid discharging for left ventricle 65
LIST OF EQUATIONS
Page
1.1 Reynolds Number 2
2.1 Coupling simulation equation 1 10
2.2 Coupling simulation equation 2 10
3.1 Mixture density equation 25
3.2 Mixture volume ratio 25
3.3 Total mixture volume 25
3.4 Mixture volume ratio 25
3.5 Maximum pressure 31
3.6 Total force 31
3.7 Force exerted at the inlet area 31
3.8 Distributed load on the inlet area 31
3.9 Perspex deformation equation 31
3.10 Rotational speed 34
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3.11 Shaft end velocity 34
3.12 Shaft end velocity with angle of rotation 34
3.13 Flow rate 34
3.14 Flow rate with angle of rotation and rotational speed 34
3.15 Velocity before entering heart model 35
3.16 Computed velocity before entering heart model 35
3.17 Computed velocity after entering heart model 35
3.18 Heart beat rate 35
3.19 Bernoulli’s equation 35
3.20 Velocity after entering heart model 35
3.21 Velocity after entering heart model with angle of rotation 36
3.22 Velocity difference 36
3.23 Flow continuity equation 36
3.24 Flow continuity equation for actual velocity 36
3.25 Computed velocity difference 36
4.1 Right ventricle septum equation 39
4.2 Left ventricle septum equation 39
4.3 Velocity difference from right ventricle graph 57
4.4 Right ventricle simultaneous equation 57
4.5 Right ventricle computed simultaneous equation 57
4.6 Velocity difference from left ventricle graph 58
4.7 Left ventricle simultaneous equation 58
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4.8 Left ventricle computed simultaneous equation 58
4.9 Draft equation of velocity in the veins 58
4.10 Final equation for velocity in the veins 58
LIST OF SYMBOLS
Density of fluid
v Velocity of fluid
L Characteristic linear dimension
Dynamic viscosity of fluid
lvV Left ventricle volume
lvP Left ventricle inner pressure
aP Arterial blood pressure
_lv aR Resistance between left ventricle and aorta
0aP Left ventricle inner pressure before time dt
0lvV Left ventricle volume before time dt
R Resistance vessel
C Compliance
g Density of glycerin
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w Density of water
b Density of blood
gV Volume of glycerin
wV Volume of water
g Gravitational acceleration
maxP Maximum pressure
I Second moment of inertia
N Rotational speed
rs Length of the rotational shaft
Vp Velocity of syringe piston
V1 Velocity of fluid at position 1
V2 Velocity of fluid at position 2
r1 Pipe radius at position 1
r2 Pipe radius at position 2
Ɵ Angle of rotational shaft from horizontal plane
B Heart beat rate
1
CHAPTER 1
INTRODUCTION
1.1 PROJECT BACKGROUND
Heart is a myogenic muscular organ to provide a rhythmic blood flow to the
blood vessels throughout whole body. The average of normal human heart beat rate is
about 72 beats per minute under the rest condition. Other than the cardiac muscle, a
human heart also consists of heart valve which is to prevent back flow of the blood in the
heart. Most of the mammal’s hearts consist of 4 heart valves. These valves ensure
unidirectional blood flow during cardiac cycle. Atrium and ventricle are the upper and
lower chambers where atria act as receiving chamber and ventricles act as discharging
chamber. Left and right hearts are separate by a thick wall of muscle call septum. Heart
valves are passive tissues which its opening and closing are depending on the difference
in blood pressure across the valves. Any failures of heart valve to perform will cause heart
disease. Heart valve disease can be group into two categories which are Stenosis and
Mitral Incompetence. Stenosis happen when the heart valve failed to open fully due to
stiffened valve tissue. Mitral Incompetence happens when the heart valve failed to
perform well and cause backflow of blood in the heart (Gonazalez, 2003).
Fluid flow structure in a cavity will be influence by the fluid velocity, flow rate,
pressure, continuity and also the physical properties of the cavity. The fluid flow pattern is
2
directly influenced by the properties of the blood and the structure of heart. This
phenomenon can be describe by studying the Reynolds number (Re) as in Eq.(1.1). In this
equation, it shows the flow pattern is inversely proportional to the dynamic viscosity of
fluid and directly proportional to the fluid density, velocity, and the dimension of the flow.
Fluid flow pattern can be generally categorized into 3 types which are Laminar,
Transitional and Turbulent flow on the bonds of Reynard Number. Blood flow in human
heart and arteries will have a high pressure and velocity during contraction. Hence the
Reynolds Number will be relatively high, and can be classify into Turbulent flow.
RevL
(1.1)
1.2 PROBLEM STATEMENT
Analysis on the heart is a wide field of study. Generally, study on heart can be
dividing to three categories which are analysis on structure, fluid flow, and valves. Most
of the previous studies had given more attention to the deformation of ventricle wall and
fluid flow pattern in left ventricleby numerical method. However, it is important to have a
modeling experiment to validate the results from the numerical study (Kanyanta, 2009).
Details of the actual geometry will influence the flow dynamics (Domenichini, 2006, Hart,
2000). Besides, pressure variation throughout the left ventricle cavity shows the
importance to the fluid flow effect in the heart chamber (Doyle, 2011). Unfortunately,
how does the heart structure, and blood pressure influence the flow at the heart and vortex
formation in the heart chamber during cardiac cycle is still under investigation.
3
1.3 OBJECTIVE
The aim of this research are to develop a heart model and to predict the
correlation between fluid flow patterns, diastolic blood velocity heart beat and vein
diameter in a pressurized rhythmic flow by applying different pressure and heart beat.
1.4 SCOPE OF STUDY
The scope of study will be organizes from:
1) This modeling experiment will only conduct in a close system.
2) The pipe diameter and flow rate ratio will be taken similar to actual human
body condition where the heart model is 2 times smaller than the actual
human heart.
3) Heart valve rigidity will be fixed at 2GPa to obtain more accurate result.
4) The flow-structure interaction will be analyzed in two dimensional
conditions.
5) Obtain a relationship between blood velocities, heart beat and vein diameter
during diastolic condition.
1.5 ORGANIZATION OF THE THESIS
This thesis is organized from:
1) Chapter 1- Introduce to the problem statements and scope for this study.
2) Chapter 2- Review of papers and discuss the limitation and similarities
among the journals.
3) Chapter 3- Heart model design and materials used.
4) Chapter 4- Result and discussion of the calculation and images.
5) Chapter 5- Conclusion and recommendations for future work.
4
CHAPTER 2
LITERATURE REVIEW
2.1 INTRODUCTION
Studies of the heart valve are divided into few categories which are the modeling
experiment, mathematical modeling, computational analysis, and simulation. The
modeling experiment of heart structure will give a better understanding on the function of
heart, and pattern of fluid flow thus, enhance the development in the heart structure study.
Additionally, the numerical study on the heart structure and fluid flow also play a
significant role on the development of artificial heart study.
2.2 RELATIONSHIP BETWEEN LEAFLET BEHAVIOUR AND FLUID
FLOW PATTERN
Hart (2000) is focusing on influence of aortic heart valve structure to the pattern
of fluid flow. The author studied the vortex formation after aortic valve during diastole
using numerical and modeling experiment. This modeling experiment applied different
aortic valve leaflet thickness and the flow is supplied periodically so the movement of the
leaflet can be established. Additionally, the finite element method was applied in this
experiment for fluid and structural computation. The aim of the author to employing
computational analysis is to validate the result on the structure of fluid flow from
5
simulation with the experimental model as shown in Figure 2.1. In the numerical study,
the author had involved two dimensionless parameters which are Reynolds and Strouhal
number are around 800 and 0.19 respectively.
Figure 2.1: Comparison of fluid flow vector after the valve from experiment (a) and
numerical (b) for leaflet thickness 0.16mm
Source: Hart 2000
2.3 BLOOD FLOW IN LEFT VENTRICLE
Left ventricle is the heart chamber which receives and delivers oxygenated blood
to the entire body. Domenichini et.al (2007) analyzed the structure of fluid dynamics in left
ventricle using the combination of numerical and experimental models. In the experiment
model, movement of blood throughout the heart chamber is caused by the dynamic
ventricle wall controlled by a computerized piston device. In this experiment, heart valves
does not included into the study. Two check valves are installed at mitral and aortic tubes to
avoid back flow. After the experiment, the result showed a strong agreement on the vortex
formation between numerical and experimental modeling. Vortex ring formation in the
numerical study (see Figure 2.2) had shown a clearer result compare to the modeling
6
experiment. Additionally, these results also agree that the fluid flow in the heart chamber is
more complex during diastolic phase (Domenichini, 2007).
Figure 2.2: 3D vortex ring formation shown in simulation
Source: Domenichini 2007
2.4 CONTINUOUS BLOOD FLOW THROUGH MITRAL VALVE
Mitral valve is also known as bicuspid valve which separate left ventricle and
atrium. Mushtak et. al (2010) used a continuous fluid flow in an open system through the
mitral valve and recored the flow by using digital camera. However, it is different with
the actual fluid flow in human heart valve because the blood flow in the heart is conduct
in a close system with pulsate flow. On the other hand, the numerical study by using Fluid
Structure Interaction (FSI) on the same heart design also had been carried out. The result
proved that the flows from both experiments are similar (see Figure 2.3). However, in the
FSI simulation, the authors used two parameters; the blood density and viscosity.
However the parameters used in the flow model are unknown (Al-Atabi 2010).
7
Figure 2.3: Comparison of the result from MRI scans and modeling experiment on the
vortex formation in left ventricle
Source: Al-Atabi 2010
2.5 LEFT VENTRICULAR DEFORMATION
Movement of the ventricle wall also is one of the factors which affect the pattern
of fluid flow in the heart chamber. Hence, a study of movement of the human heart
contraction by the help of the Magnetic Resonance Imaging (MRI) and been developed
by Bistoquet(2007). At the beginning of the study, the author used two assumptions:
1) Incompressibility of the myocardium muscle, and
2) Any point on the left ventricular wall will only move at the normal direction
to the original point.
These assumptions are made because the MRI cine does not contain enough
information to estimate both criteria during cardiac cycle. To observe the 3-D contraction
of the heart muscle, the author divided the heart into a few segments and use pseudo thin
plate to interpolate the nodes on that segment. These nodes are used to be a reference
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point for the motion of the ventricle wall (see Figure 2.4 (b)). All the movements of the
nodes are represented in a vector form (see Figure 2.4 (c)). To validate this result, the
study on the patient that have heart disease and repetition of the MRI scanning had been
carried out on the same subject after four months and the result of the ventricle wall
deformation before and after four months are agreed well (Bistoquet, 2007).
Figure 2.4: The sample of nodes, vector and deformation of the left ventricle
Source: Bistoquet 2007
2.6 CARDIAC MOVEMENT DETECTION
Heart disease can be classified into structure and motion abnormalities. Both
types of disease can be detected by the echocardiogram. So, it is possible to carry out
automatic disease detection by using echocardiogram. One of the common methods used
is scale invariant features on edge-filtered motion magnitude mapping on the
echocardiogram (Kumar, 2010). The sources of this method are coming from the
Echocardiogram videos. The interest point on the feature will be selected from the
edge-filtered features and the motion will be detected in two dimensional (see Figure 2.5).
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Figure 2.5: The picture of a normal person echocardiogram and the velocity movement
profile of left ventricle
Source: Kumar 2010
2.7 SIMULATION OF CARDIAC MOTION BY USING FEM
In order to obtain a similar shape as human left ventricular shape, using a set of
MR images to extract a 2-D feature of heart is required. However, to obtain a more
accurate data 3-D feature is needed for the simulation. So as to generate 3-D image data,
3-D smoothing filter is one of the method used (Amano 2007). Beside the 3-D images,
cell orientation and material properties of left ventricular tissue are also important
criterions which affect the heart muscle movement. Figure 2.6 illustrated the shape of the
left ventricle deformation model during end of diastole and systole by using FEM. The
result showed that the contracting force is varying depends on the cell orientation.
(Amano 2007).
10
Figure 2.6: Left ventricle deformation of simple cell orientation
Source: Amano 2007
2.8 COUPLING SIMULATION
Nobuaki (2005) combined the simulation result from the mechanical and
circulation model to obtain a high accuracy result regarding to the volume, pressure, and
contraction force respect to time. The convergence calculation will be the coupling
method use in this experiment. The basic concept of this coupling method is shown in
Figure 2.7. There are two main equations used in this experiment:
_
lv lv a
lv a
dV P P
dt R
(2.1)
0 0( ) ( ) . 0aa a lv lv
Pc P P V V dt
R (2.2)
The FEM solver and circulation simulator (windkessel model) are used to obtain
the coefficients in the calculation model. In order to solve the Equation 2.1 and 2.2, the
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author had also fixed the boundary condition during isovolumic contraction, ejection,
isovolumic relaxation, and filling phase.
Figure 2.7: Simple system configuration
Source: Nobuaki 2005
2.9 HEART CAVITY PROFILE MOVEMENT
Similar to Kumar (2010), Riyadi (2009) also used the images from
echocardiogram to detect the cardiac movement of healthy left ventricle. The
methodology involved several tasks such as the collection of echocardiogram images, the
computation of optical flow field and the extraction of the movement profile. The optical
flow field is computed regarding to the intensity of the image which is similar to the
method for analyzing the echocardiogram images. The author separates the left
ventricular images into few segments. The result showed the displacement and direction
(angle) profile regarding to different segments (see Figure 2.8). This result can contribute
to the medical field to detect the abnormality of the human heart.