Medical Hypotheses
Volume 68, Issue 5 , Pages 967-978, 2007

Fluid mechanical and physicochemical modeling interprets hypertension to be capable of inducing secondary complications

  • Chien-Ning Huang

      Affiliations

    • Research Institute of BioMedicinal Science and Technology, Hung-Kuang University, No. 34, Chung-Chie Road, Shalu County, Taichung Hsien 43302, Taiwan
  • ,
  • Chiung-Huei Peng

      Affiliations

    • Division of Basic Medical Sciences, Hung-Kuang University, No. 34, Chung-Chie Road, Shalu County, Taichung Hsien, Taiwan
  • ,
  • Chün-Ming Shih

      Affiliations

    • Department of Internal Medicine, Taipei Medical University, Wu-Xin Street, Taipei, 116, Taiwan
  • ,
  • Wen-Ta Chiu

      Affiliations

    • Graduate Institute of Medical Science, Taipei Medical University, Wu-Xin Street, Taipei 116, Taiwan
    • Department of Neurosurgery, Taipei Medical University, Wu-Xin Street, Taipei 116, Taiwan
  • ,
  • Charng-Cherng Chayu

      Affiliations

    • Research Institute of BioMedicinal Science and Technology, Hung-Kuang University, No. 34, Chung-Chie Road, Shalu County, Taichung Hsien 43302, Taiwan
  • ,
  • Kuan-Chou Chen

      Affiliations

    • Department of Urology, Taipei Medical University, Wu-Xin Street, Taipei 116, Taiwan
  • ,
  • Chiung-Chi Peng

      Affiliations

    • Department of Nursing, Cardinal Tien’s College of Nursing, Taipei Hsien, Taiwan
  • ,
  • Robert Y. Peng

      Affiliations

    • Research Institute of BioMedicinal Science and Technology, Hung-Kuang University, No. 34, Chung-Chie Road, Shalu County, Taichung Hsien 43302, Taiwan
    • Graduate Institute of Medical Science, Taipei Medical University, Wu-Xin Street, Taipei 116, Taiwan
    • Corresponding Author InformationCorresponding author. Tel./fax: +886 2 27585767.

Received 4 October 2006; accepted 8 October 2006. published online 06 December 2006.

Summary 

The relationship of hypertensives and many pathological syndromes still remains unclear. A mathematical model in terms of the fluid mechanics and physicochemical analyses is established to correlate the plasma viscosity, the shear stress and the rate of shear in blood stream with the ligand–receptor dissociation constant. This model has arrived at the conclusive results that high viscosity, high rate of shear created in the blood streams, and the peripheral resistance may act as important preceding factors to induce a serial subsequent pathological clinical manifestations. High viscosity may interfere with the ligand–receptor combination, in contrast, high rate of shear may knock the ligand (s) off the existing ligand–receptor complex, while elevation of peripheral resistance may slow down the blood flow rate, resulting in a diminished dissociation of ligand–receptor complex. This model has successfully interpreted the possible cause of some post-hypertensive abnormal outcome manifestations involving obstructive and degenerative stenosis (such as renal artery stenosis), growth retardation, blood vessel detriment, coarctation of aorta, coronary thrombotics, atherosclerosis, hyperinsulinemia, diabetes, obesity, hypothyroidism, infertility, and at the worst, carcinoma, etc.

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PII: S0306-9877(06)00756-0

doi:10.1016/j.mehy.2006.10.017

Medical Hypotheses
Volume 68, Issue 5 , Pages 967-978, 2007