1. Distribution of normal human left ventricular myofiber stress at end diastole and end systole: a target for in silico design of heart failure treatments
- Author
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Sebastian Kozerke, Rebecca Nguyen, Lik Chuan Lee, Zhihong Zhang, Julius M. Guccione, Gabriel Acevedo-Bolton, Liang Ge, Henrik Haraldsson, Martin Genet, Karen G. Ordovas, University of Zurich, and Guccione, J M
- Subjects
medicine.medical_specialty ,Systole ,Physiology ,Heart Ventricles ,In silico ,Diastole ,610 Medicine & health ,Ventricular Function, Left ,170 Ethics ,2737 Physiology (medical) ,Myofibrils ,Physiology (medical) ,Internal medicine ,medicine ,Humans ,Distribution (pharmacology) ,Myocyte ,10237 Institute of Biomedical Engineering ,End diastole ,Ventricular remodeling ,Heart Failure ,Ventricular Remodeling ,business.industry ,Models, Cardiovascular ,Heart ,1314 Physiology ,Articles ,Anatomy ,medicine.disease ,Magnetic Resonance Imaging ,Heart failure ,Cardiology ,business - Abstract
Ventricular wall stress is believed to be responsible for many physical mechanisms taking place in the human heart, including ventricular remodeling, which is frequently associated with heart failure. Therefore, normalization of ventricular wall stress is the cornerstone of many existing and new treatments for heart failure. In this paper, we sought to construct reference maps of normal ventricular wall stress in humans that could be used as a target for in silico optimization studies of existing and potential new treatments for heart failure. To do so, we constructed personalized computational models of the left ventricles of five normal human subjects using magnetic resonance images and the finite-element method. These models were calibrated using left ventricular volume data extracted from magnetic resonance imaging (MRI) and validated through comparison with strain measurements from tagged MRI (950 ± 170 strain comparisons/subject). The calibrated passive material parameter values were C0 = 0.115 ± 0.008 kPa and B0 = 14.4 ± 3.18; the active material parameter value was Tmax = 143 ± 11.1 kPa. These values could serve as a reference for future construction of normal human left ventricular computational models. The differences between the predicted and the measured circumferential and longitudinal strains in each subject were 3.4 ± 6.3 and 0.5 ± 5.9%, respectively. The predicted end-diastolic and end-systolic myofiber stress fields for the five subjects were 2.21 ± 0.58 and 16.54 ± 4.73 kPa, respectively. Thus these stresses could serve as targets for in silico design of heart failure treatments.
- Published
- 2014
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