Key result
The time-varying elastance model successfully simulates Mommaerts' unifying concept of the Fenn effect in cardiac muscle, unlike the new elastic body model.
The time-varying elastance model can successfully simulate the Fenn effect in cardiac muscle, unlike the new elastic body model.
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Supports time-varying elastance for cardiac energetics modeling; leaves open clinical validation before any practice change.
It is generally believed that the Fenn effect contradicts all visco-elastic models of muscle, including the new elastic body and the time-varying elastance models. Although it is clear that the new elastic body model can be discarded, the Fenn effect does not preclude the time-varying elastance model. Although no visco-elastic models can simulate the extra energy utilization for work above the level of the energy utilized for the maximal isometric contraction, the extra energy observed by Fenn is not generally observed, even in skeletal muscles. However, work-related extra energy utilization, above the isometric energy utilization at equivalent force (Mommaerts' unifying concept of the Fenn effect), is generally observed in both skeletal and cardiac muscles. This unifying concept of the Fenn effect in cardiac muscle can be simulated by a simple time-varying elastance model. This study demonstrates the essential difference in energetics between the new elastic body model and the time-varying elastance model.
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Hiroyuki Suga (1990) studied Cardiac muscle energetics. Time-varying elastance model vs. New elastic body model was evaluated on Simulation of the Fenn effect. The time-varying elastance model successfully simulates Mommaerts' unifying concept of the Fenn effect in cardiac muscle, unlike the new elastic body model.
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