Abstract P422: Sanal Flow Choking Leads To Hemorrhagic Stroke And Other Neurological Disorders In Earth And Human Spaceflight
Background: Evidences are escalating on the diverse neurological disorders associated with COVID-19pandemic due to the nanoscale Sanal-flow-choking (PMC7267099) . The Sanal-flow-chokingoccurs at relatively high and low blood viscosity. Sanal-flow-choking leads to aneurysm andhemorrhagic-stroke and other neurological-disorders if the vessel geometry is having divergence,bifurcation, stenosis and/or occlusion regions (PMC7933821) . Nanoscale Sanal flow choking ismore susceptible at microgravity condition due to altered variations of blood viscosity, turbulenceand the blood pressure ratio (BPR). Astronauts/Cosmonauts experienced neurological disordersduring human spaceflight and thereafter. Methods: Closed-form analytical, in vitro and in silico studies have been carried out for establishing thephenomenon of Sanal-flow-choking. Biofluid/blood heat capacity ratio (BHCR) of various healthysubjects are estimated. Results: The closed-form analytical models reveal that the relatively high and low blood viscosity arerisk factors of Sanal-flow-choking. In vitro study shows that N2, O2, and CO2 gases arepredominant in fresh-blood samples of the healthy human-being and Guinea-pig at a temperaturerange of 37-40 0 C (98.6-104 0 F), which increases the risk of Sanal-flow-choking. In silico resultsshows the Sanal-flow-choking followed by shock-waves and pressure-overshoot in a simulatedartery with the divergence region. Conclusions: As the pressure of the nanoscale biofluid/non-continuum-flows rises, fluid viscosityincreases and average-mean-free-path diminishes and thus, the Knudsen number lowers headingto a zero-slip wall-boundary condition with the compressible flow regime, which increases the riskof Sanal-flow-choking and the shock wave generation causing asymptomatic cardiovasculardisease. Microgravity environment decreases plasma volume and increases the hematocritcompared with the situation on the earth surface, which increases the relative viscosity of bloodcausing an early Sanal-flow-choking. Herein we established that the disproportionate blood-thinning treatment increases the risk of the nanoscale Sanal-flow-choking due to the enhancedboundary-layer-blockage factor. The risk could be diminished by concurrently reducing theviscosity of biofluid/blood and flow-turbulence by increasing thermal-tolerance-level in terms ofBHCR and/or by decreasing the BPR through new drug discovery or using companion medicinewith the traditional blood thinners or other health care management. We recommend allastronauts/cosmonauts should wear ambulatory blood pressure and thermal level monitoringdevices similar to a wristwatch throughout the space travel for the diagnosis, prognosis andprevention of internal flow choking leading to asymptomatic cardiovascular disease includingneurological disorders.