Potential hemodynamic biomarkers of pulmonary arterial hypertension (PAH) and consecutive right ventricular remodeling were investigated by 4D flow center-out stack-of-stars velocity mapping in a rat model of monocrotaline induced PAH in comparison to healthy controls and a treatment group taking Macitentan. The averaged-mean values of blood flow velocities of pulmonary tract were substantially decreased in the diseased animal group compared to the control and under-treatment group. Diseased animals further showed a pronounced pressure gradient drop between the pulmonary artery bronchial branches and pulmonary veins. The effect of vascular resistance was additionally noted in the velocity-time curve of the pulmonary arteries.
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