ASYNCHRONOUS ONSET OF MECHANICAL SYSTOLE STUDIED BY COMPUTER GENERATED THREE-DIMENSIONAL FUNCTIONAL IMAGES OF THE LEFT VENTRICLE

All previous studies of residual strain in the ventricular wall have been based on one- or two-dimensional measurements. Transmural distributions of three-dimensional (3-D) residual strains were measured by biplane radiography of columns of lead beads implanted in the midanterior free wall of the canine left ventricle (LV). 3-D bead coordinates were reconstructed with the isolated arrested LV in the zero-pressure state and again after local residual stress had been relieved by excising a transmural block of tissue. Nonhomogeneous 3-D residual strains were computed by finite element analysis. Mean ± SD ( n = 8) circumferential residual strain indicated that the intact unloaded myocardium was prestretched at the epicardium (0.07 ± 0.06) and compressed in the subendocardium (−0.04 ± 0.05). Small but significant longitudinal shortening and torsional shear residual strains were also measured. Residual fiber strain was tensile at the epicardium (0.05 ± 0.06) and compressive in the subendocardium (−0.01 ± 0.04), with residual extension and shortening, respectively, along structural axes parallel and perpendicular to the laminar myocardial sheets. Relatively small residual shear strains with respect to the myofiber sheets suggest that prestretching in the plane of the myocardial laminae may be a primary mechanism of residual stress in the LV.

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Effects of ventricular pacing on finite deformation in canine left ventricles

AJP Heart and Circulatory Physiology ◽

10.1152/ajpheart.1987.252.5.h1023 ◽

1987 ◽

Vol 252 (5) ◽

pp. H1023-H1030 ◽

Cited By ~ 8

Author(s):

L. K. Waldman ◽

J. W. Covell

Keyword(s):

Left Ventricle ◽

Finite Deformation ◽

Repeated Measures ◽

Three Dimensional ◽

Radial Strain ◽

Tangent Plane ◽

Ventricular Pacing ◽

Anesthetized Dogs ◽

Principal Directions ◽

Heart Wall

Despite the fact that myofibers would be expected to shorten only along their axes, there is now evidence for substantial deformation away from the local myofiber direction in the left ventricle. To determine if the principal directions of deformation could be altered by a physiological stimulus, we examined local three-dimensional finite deformation in the anterior free wall of the left ventricle during normal atrial activation (AA) and, subsequently, during epicardial ventricular pacing (VP) at the site of deformation measurement in open-chest anesthetized dogs. An analysis of variance by repeated measures revealed the following significant changes (P less than or equal to 0.05) in the overall (average of epicardial and endocardial data) strain variables at end systole. Circumferential strain increased from -0.07 (AA) to 0.14 (VP), radial strain decreased from 0.16 (AA) to 0.01 (VP), shear in the tangent plane of the local epicardium decreased from 0.04 (AA) to -0.02 (VP), shear in the plane of the longitudinal and radial coordinates decreased from 0.03 (AA) to -0.03 (VP). Neither the first (greatest shortening) nor the third (greatest lengthening) principal strain changed significantly, but the direction of the first principal axis of deformation projected on the epicardial tangent plane changed from -51 degrees (AA) to -80 degrees (VP) from circumferential. In addition, substantial tipping of the plane of principal shortening away from the epicardial tangent plane was observed, particularly with ventricular pacing. These data indicate that the principal directions of deformation can be altered substantially by changing the activation sequence. In conjunction with the observed shearing deformations, particularly near the endocardium, they support the concept that locally the heart wall deforms as a unit with significant transmural tethering.

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Method for Calibration of Left Ventricle Material Properties Using Three-Dimensional Echocardiography Endocardial Strains

Journal of Biomechanical Engineering ◽

10.1115/1.4044215 ◽

2019 ◽

Vol 141 (9) ◽

Cited By ~ 4

Author(s):

Yaghoub Dabiri ◽

Kevin L. Sack ◽

Nuno Rebelo ◽

Peter Wang ◽

Yunjie Wang ◽

...

Keyword(s):

Mechanical Properties ◽

Left Ventricle ◽

Diffusion Tensor ◽

Diastolic Pressure ◽

Three Dimensional ◽

Heart Association ◽

Mean Difference ◽

Imaging Data ◽

The Mean

We sought to calibrate mechanical properties of left ventricle (LV) based on three-dimensional (3D) speckle tracking echocardiographic imaging data recorded from 16 segments defined by American Heart Association (AHA). The in vivo data were used to create finite element (FE) LV and biventricular (BV) models. The orientation of the fibers in the LV model was rule based, but diffusion tensor magnetic resonance imaging (MRI) data were used for the fiber directions in the BV model. A nonlinear fiber-reinforced constitutive equation was used to describe the passive behavior of the myocardium, whereas the active tension was described by a model based on tissue contraction (Tmax). isight was used for optimization, which used abaqus as the forward solver (Simulia, Providence, RI). The calibration of passive properties based on the end diastolic pressure volume relation (EDPVR) curve resulted in relatively good agreement (mean error = −0.04 ml). The difference between the experimental and computational strains decreased after segmental strain metrics, rather than global metrics, were used for calibration: for the LV model, the mean difference reduced from 0.129 to 0.046 (circumferential) and from 0.076 to 0.059 (longitudinal); for the BV model, the mean difference nearly did not change in the circumferential direction (0.061) but reduced in the longitudinal direction from 0.076 to 0.055. The calibration of mechanical properties for myocardium can be improved using segmental strain metrics. The importance of realistic fiber orientation and geometry for modeling of the LV was shown.

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