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Electrical activity of the heart  125





















                   Figure 4.24 (A) Inlet brachial velocity profile. (B) Outlet pressure profiles for ulnar and radial arter-
                   ies. Inlet and outlet boundary conditions for the hemodynamic flow: (A) inlet brachial velocity pro-
                   file, and (B) outlet pressure profiles for ulnar and radial arteries.


                   which implements a generalized Newton fluid, without elasticity, with a high shear
                   stress, and Ostwald-de-Waele (or power law) that models fluids with higher shear rate
                   and low viscosity. Carreau model exhibits Newtonian fluid behavior for a low shear
                   rate and otherwise the model tends to Ostwald-de-Waele fluid (Chapter 1: Physical,
                   Mathematical and Numerical Modeling). The arterial flow is presented through the
                   momentum (Navier Stokes) and mass conservation laws

                                        @u
                                     ρ    1 uUrÞu 52 rp 1 rU~;       rUu 5 0;
                                                                τ
                                       @t   ð                                            ð4:24Þ
                                                       τ
                   where u is the velocity, p the pressure, ~ the shear stress tensor, ρ the mass density,
                   and η the dynamic viscosity. The boundary conditions that close the flow model are
                   no-slip (zero velocity) at the walls, inlet velocity (mass flow rate) uniform, time depen-
                   dent profile for the brachial artery, and outlet pressure uniform, pressure dependent
                   profiles for radius and ulna (Figs. 4.23 and 4.24).
                      Using these velocity and pressure profiles as boundary conditions introduces the
                   direct and the reverse pressure waves. This approach may alleviate the difficulty of
                   including a downstream lumped hydrodynamic circuit to model the pressure reflec-
                   tions (Olufsen, 1999).


                   Structural analysis
                   The bones are a rigid, nondeformable structure therefore the pressure wave leads to struc-
                   tural changes in the vessel wall and the surrounding muscular tissue only, and these tissues
                   are assumed isotropic, almost incompressible. Their nonlinear deformations are modeled
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