Key result
The presence of a remodeling infarct in the left ventricle free wall increased the average strain in the healthy interventricular septum by up to 50.0% compared to a healthy model.
Why the study?
Computational modelling may improve understanding of disease mechanisms, prompting investigation into the effect of a remodeling left ventricular free wall infarct on the healthy interventricular septum using finite element methods.
Does a remodeling infarct in the left ventricular free wall affect the stress and strain of a healthy interventricular septum in rat heart models?
Does a remodeling infarct in the left ventricular free wall affect the stress and strain of a healthy interventricular septum in rat heart models?
Effect estimate: up to 50.0 % increase in average strain
A remodeling infarct in the left ventricular free wall significantly increases stress and strain on the adjacent healthy interventricular septum, potentially contributing to poor global heart function.
Post-infarct septal strain elevation in rat models warrants caution in extrapolating mechanics; leaves open human validation before clinical insight.
PURPOSE: Computational modelling may improve the fundamental understanding of various mechanisms of diseases more particularly related to clinical challenges. In this study the effect of remodeling infarct presence in the left ventricle on the interventricular septal wall is studied using the finite element methods. METHODS: In this study, two rat heart (one model with healthy myocardium and one model with remodeling free wall and healthy septal wall) with magnetic resonance imaging data was gathered to reconstruct three-dimensional (3D) rat heart models. 3D data points from Segment® were imported into SolidEdge® for creation of 3D rat heart models. Abaqus® was used for finite element modeling. RESULTS: The strain in the healthy interventricular septum of the infarcted left ventricle wall increased when compared to the healthy interventricular septum in the healthy left ventricle. Similarly, the average stress in the healthy left ventricle was observed to have increased on the healthy the interventricular septum where the free wall is subjected to remodeling infarct. When comparing the infarcted models to the healthy model, it was found that the average strain had greatly increased by up to 50.0 %. CONCLUSIONS: The remodeling infarct in the left ventricle has an impact on the healthy interventricular septal wall. Even though the interventricular septal wall was modelled as healthy, it was observed that it has undergone considerable changes in stresses and strains in circumferential and longitudinal direction. The observed changes in myocardial stresses and strains may result in poor global functioning of the heart.
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Fulufhelo Ṋemavhola (2019) studied Remodeling infarct in the left ventricle (n=2). Remodeling infarct in the left ventricle free wall vs. Healthy left ventricle was evaluated on Strain and stress in the healthy interventricular septum (up to 50.0 % increase in average strain). The presence of a remodeling infarct in the left ventricle free wall increased the average strain in the healthy interventricular septum by up to 50.0% compared to a healthy model.
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