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

Abstract

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.