Blood hammer
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The blood hammer phenomenon is a sudden increase of the upstream blood pressure in a
blood vessel The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away ...
(especially
artery An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pu ...
or
arteriole An arteriole is a small-diameter blood vessel in the microcirculation that extends and branches out from an artery and leads to capillaries. Arterioles have muscular walls (usually only one to two layers of smooth muscle cells) and are the primar ...
) 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 in the cir ...
stream is abruptly blocked by vessel obstruction. The term "blood-hammer" was introduced in cerebral
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 m ...
by analogy with the
hydraulic Hydraulics (from Greek: Υδραυλική) 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 counte ...
expression "
water hammer Hydraulic shock (colloquial: water hammer; fluid hammer) is a pressure surge or wave caused when a fluid in motion, usually a liquid but sometimes also a gas is forced to stop or change direction suddenly; a momentum change. This phenomenon com ...
", already used in
vascular The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away f ...
physiology Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemical ...
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