Perfusion studies of steady flow in poroelastic myocardium tissue

E Y K Ng1, D N Ghista, R C Jegathese

  • 1Nanyang Technological University, School of Mechanical and Aerospace Engineering, Singapore, 639798, Singapore. mykng@ntu.edu.sg

Insights

Investigating myocardial stress and heart failure risk, this study uses poroelastic analysis to understand how left ventricular (LV) pumping affects heart muscle perfusion. Findings reveal perfusion as a key indicator of the heart

Area of Science:

  • Cardiovascular Physiology
  • Biomedical Engineering
  • Computational Mechanics

Background:

  • The heart's myocardium requires significant blood supply (5-10% of cardiac output).
  • Understanding myocardium behavior is crucial for diagnosing cardiac conditions.
  • Left ventricular (LV) pumping abnormalities can impact myocardial function.

Purpose of the Study:

  • To investigate the influence of myocardial stress and disease on LV myocardial perfusion.
  • To explore the relationship between LV pumping abnormalities and myocardial perfusion.
  • To establish LV myocardial perfusion as an index for heart failure risk.

Main Methods:

  • Poroelastic analysis of myocardial tissue.
  • Finite element method (FEM) modeling.
  • Simulation of regional perfusion under various physiological loading conditions.

Main Results:

  • Myocardial stress and LV pumping abnormalities significantly influence myocardial perfusion.
  • Perfusion patterns varied with different loading conditions.
  • The study provides a computational framework for analyzing myocardial mechanics and perfusion.

Conclusions:

  • LV myocardial perfusion is a sensitive indicator of the LV's ability to meet workload demands.
  • Abnormalities in myocardial perfusion may predict the risk of heart failure.
  • Poroelastic FEM analysis is a valuable tool for studying cardiac function and disease.

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