Flow dynamics and energy efficiency of flow in the left ventricle during myocardial infarction

Cardiovascular disease is a leading cause of death worldwide, where myocardial infarction (MI) is a major category. After infarction, the heart has difficulty providing sufficient energy for circulation, and thus, understanding the heart’s energy efficiency is important. We induced MI in a porcine a...

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Veröffentlicht in:Biomechanics and modeling in mechanobiology 2017-10, Vol.16 (5), p.1503-1517
Hauptverfasser: Vasudevan, Vivek, Low, Adriel Jia Jun, Annamalai, Sarayu Parimal, Sampath, Smita, Poh, Kian Keong, Totman, Teresa, Mazlan, Muhammad, Croft, Grace, Richards, A. Mark, de Kleijn, Dominique P. V., Chin, Chih-Liang, Yap, Choon Hwai
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container_issue 5
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container_title Biomechanics and modeling in mechanobiology
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creator Vasudevan, Vivek
Low, Adriel Jia Jun
Annamalai, Sarayu Parimal
Sampath, Smita
Poh, Kian Keong
Totman, Teresa
Mazlan, Muhammad
Croft, Grace
Richards, A. Mark
de Kleijn, Dominique P. V.
Chin, Chih-Liang
Yap, Choon Hwai
description Cardiovascular disease is a leading cause of death worldwide, where myocardial infarction (MI) is a major category. After infarction, the heart has difficulty providing sufficient energy for circulation, and thus, understanding the heart’s energy efficiency is important. We induced MI in a porcine animal model via circumflex ligation and acquired multiple-slice cine magnetic resonance (MR) images in a longitudinal manner—before infarction, and 1 week (acute) and 4 weeks (chronic) after infarction. Computational fluid dynamic simulations were performed based on MR images to obtain detailed fluid dynamics and energy dynamics of the left ventricles. Results showed that energy efficiency flow through the heart decreased at the acute time point. Since the heart was observed to experience changes in heart rate, stroke volume and chamber size over the two post-infarction time points, simulations were performed to test the effect of each of the three parameters. Increasing heart rate and stroke volume were found to significantly decrease flow energy efficiency, but the effect of chamber size was inconsistent. Strong complex interplay was observed between the three parameters, necessitating the use of non-dimensional parameterization to characterize flow energy efficiency. The ratio of Reynolds to Strouhal number, which is a form of Womersley number, was found to be the most effective non-dimensional parameter to represent energy efficiency of flow in the heart. We believe that this non-dimensional number can be computed for clinical cases via ultrasound and hypothesize that it can serve as a biomarker for clinical evaluations.
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subjects Animal models
Biological and Medical Physics
Biomarkers
Biomedical Engineering and Bioengineering
Biophysics
Cardiovascular diseases
Cerebral infarction
Circulation
Computational fluid dynamics
Computer applications
Computer simulation
Electrocardiography
Energy efficiency
Engineering
Fluid dynamics
Heart attacks
Heart rate
Hydrodynamics
Image acquisition
Magnetic resonance imaging
Myocardial infarction
Original Paper
Parameterization
Power efficiency
Space life sciences
Stroke
Stroke volume
Strouhal number
Theoretical and Applied Mechanics
Ultrasound
Ventricle
title Flow dynamics and energy efficiency of flow in the left ventricle during myocardial infarction
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