Blood Hammer
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The blood hammer phenomenon is a sudden increase of the upstream
blood pressure Blood pressure (BP) is the pressure of Circulatory system, circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term ...
in a
blood vessel Blood vessels are the tubular structures of a circulatory system that transport blood throughout many Animal, animals’ bodies. Blood vessels transport blood cells, nutrients, and oxygen to most of the Tissue (biology), tissues of a Body (bi ...
(especially
artery An artery () is a blood vessel in humans and most other animals that takes oxygenated blood away from the heart in the systemic circulation to one or more parts of the body. Exceptions that carry deoxygenated blood are the pulmonary arteries in ...
or
arteriole An arteriole is a small-diameter blood vessel in the microcirculation that extends and branches out from an artery and leads to capillary, capillaries. Arterioles have vascular smooth muscle, muscular walls (usually only one to two layers of smoo ...
) when the
blood Blood is a body fluid in the circulatory system of humans and other vertebrates that delivers necessary substances such as nutrients and oxygen to the cells, and transports metabolic waste products away from those same cells. Blood is com ...
stream is abruptly blocked by vessel obstruction. The term "blood-hammer" was introduced in
cerebral Cerebral may refer to: * Of or relating to the brain * Cerebrum, the largest and uppermost part of the brain * Cerebral cortex, the outer layer of the cerebrum * Retroflex consonant, also referred to as a cerebral consonant, a type of consonant so ...
hemodynamics Hemodynamics or haemodynamics are the dynamics of blood flow. The circulatory system is controlled by homeostatic mechanisms of autoregulation, just as hydraulic circuits are controlled by control systems. The hemodynamic response continuously ...
by analogy with the
hydraulic Hydraulics () is a technology and applied science using engineering, chemistry, and other sciences involving the mechanical properties and use of liquids. At a very basic level, hydraulics is the liquid counterpart of pneumatics, which concer ...
expression "
water hammer Hydraulic shock ( colloquial: water hammer; fluid hammer) is a pressure surge or wave caused when a fluid in motion is forced to stop or change direction suddenly: a momentum change. It is usually observed in a liquid but gases can also be aff ...
", already used in
vascular Vascular can refer to: * blood vessels, the vascular system in animals * vascular tissue Vascular tissue is a complex transporting tissue, formed of more than one cell type, found in vascular plants. The primary components of vascular tissue ...
physiology Physiology (; ) is the science, scientific study of function (biology), functions and mechanism (biology), mechanisms in a life, living system. As a branches of science, subdiscipline of biology, physiology focuses on how organisms, organ syst ...
to designate an arterial pulse variety, the " water-hammer pulse". Complete understanding of the relationship between mechanical parameters in vascular occlusions is a critical issue, which can play an important role in the future diagnosis, understanding and treatment of vascular diseases. If the time of shock wave propagation caused by the blood encountering an obstacle is equal to or less than the semilunar valve closure time, this can create a partial blood hammer phenomenon where flow speed oscillation increases without an accompanying abnormal pressure increase, whereas patients without a prolonged aortic valve closure time have the kinetic energy associated with turning around after an obstruction into a pressure peak, with little energy dedicated to increasing flow speed oscillations in a complete blood hammer effect. Flow leakage is also possible in an incomplete blood hammer, which is not seen in the complete blood hammer effect.


References

* Blood disorders {{med-sign-stub