A 3D biventricular electromechanical model coupled with a 0D closed-loop cardiovascular system model successfully reproduced physiological mechanical biomarkers matching experimental literature data.
A novel 3D-0D closed-loop computational model of biventricular electromechanics accurately reproduces physiological mechanical biomarkers and demonstrates the impact of myofiber architecture on cardiac pumping function.
Two crucial factors for accurate numerical simulations of cardiac electromechanics, which are also essential to reproduce the synchronous activity of the heart, are: (i) accounting for the interaction between the heart and the circulatory system that determines pressures and volumes loads in the heart chambers; (ii) reconstructing the muscular fiber architecture that drives the electrophysiology signal and the myocardium contraction. In this work, we present a 3D biventricular electromechanical model coupled with a 0D closed-loop model of the whole cardiovascular system that addresses the two former crucial factors. With this aim, we introduce a boundary condition for the mechanical problem that accounts for the neglected part of the domain located on top of the biventricular basal plane and that is consistent with the principles of momentum and energy conservation. We also discuss in detail the coupling conditions behind the 3D and the 0D models. We perform electromechanical simulations in physiological conditions using the 3D–0D model and we show that our results match the experimental data of relevant mechanical biomarkers available in the literature. Furthermore, we investigate different arrangements in cross-fibers active contraction. We prove that an active tension along the sheet direction counteracts the myofiber contraction, while the one along the sheet-normal direction enhances the cardiac work. Finally, several myofiber architectures are analyzed. We show that a different fiber field in the septal area and in the transmural wall affects the pumping functionality of the left ventricle.
Piersanti et al. (Fri,) conducted a other in Healthy human heart (computational model). 3D-0D closed-loop electromechanical model vs. Literature values was evaluated on Mechanical biomarkers (EDV, ESV, EF, PLV, PRV, LFS, WT). A 3D biventricular electromechanical model coupled with a 0D closed-loop cardiovascular system model successfully reproduced physiological mechanical biomarkers matching experimental literature data.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: