Physiological Sex-Specific Haematocrit Has Minimal Effect on Coronary Computational Haemodynamics: Modelling Implications for Blood Rheology

Physics > Medical Physics [Submitted on 18 Jun 2026] Title:Physiological Sex-Specific Haematocrit Has Minimal Effect on Coronary Computational Haemodynamics: Modelling Implications for Blood Rheology View PDFAbstract:Haematocrit influences blood viscosity and may affect coronary computational fluid dynamics (CFD). However, previous studies examined broad or pathological haematocrit ranges, and it remains unclear whether female-specific haematocrit variations within the physiological range produce meaningful changes in coronary haemodynamics. 15 female coronaries were analysed, including healthy arteries and diseased models with mild, moderate and severe stenosis. A haematocrit-dependent Carreau-Yasuda model was developed. CFD simulations were performed using the standard rheology model and a female-specific haematocrit-based model (40%). Time-averaged endothelial shear stress (TAESS), ESS gradient (ESSG), temporal shear variation index (TSVI), helicity, and low/high TAESS exposure were compared across coronary trees, arterial segments, bifurcations, stenosed vessels and corresponding narrowed regions. The female-specific model produced statistically significant differences from the standard model across all metrics and coronary regions (p < 0.05). However, the absolute differences were small, indicating a limited haemodynamic impact. Bland-Altman analysis showed narrow biases and limits of agreement. Linear regression demonstrated significant associations between inter-model differences and haemodynamic magnitude for TAESS, ESSG, helicity intensity, and adverse TAESS exposure, but the slopes were small. Similar findings were observed in stenosed arteries, where both models captured comparable flow disturbances across stenosis severities. Female-specific haematocrit variation within the physiological range is computationally detectable but haemodynamically negligible in coronary CFD. A standard rheology model is therefore likely sufficient for most coronary CFD studies, while personalised haematocrit modelling is more relevant for patients with abnormal haematocrit or rheology-focused studies. Current browse context: physics.med-ph Change to browse by: References & Citations Loading... Bibliographic and Citation Tools Bibliographic Explorer (What is the Explorer?) Connected Papers (What is Connected Papers?) Litmaps (What is Litmaps?) scite Smart Citations (What are Smart Citations?) Code, Data and Media Associated with this Article alphaXiv (What is alphaXiv?) CatalyzeX Code Finder for Papers (What is CatalyzeX?) DagsHub (What is DagsHub?) Gotit.pub (What is GotitPub?) Hugging Face (What is Huggingface?) ScienceCast (What is ScienceCast?) Demos Recommenders and Search Tools Influence Flower (What are Influence Flowers?) CORE Recommender (What is CORE?) arXivLabs: experimental projects with community collaborators arXivLabs is a framework that allows collaborators to develop and share new arXiv features directly on our website. Both individuals and organizations that work with arXivLabs have embraced and accepted our values of openness, community, excellence, and user data privacy. arXiv is committed to these values and only works with partners that adhere to them. Have an idea for a project that will add value for arXiv's community? Learn more about arXivLabs.