Related Experiment Video
Updated: Jun 18, 2026

Permanent Ligation of the Left Anterior Descending Coronary Artery in Mice: A Model of Post-myocardial Infarction Remodelling and Heart Failure
Published on: December 2, 2014
Modulation of left ventricular dilation remodeling with epicardial restraint devices in postmyocardial infarction
Veli K Topkara1, Srikanth Kondareddy, Douglas L Mann
1Cardiovascular Division, Washington University School of Medicine, 660 South Euclid Avenue, Campus PO Box 8066, Saint Louis, MO 63110, USA.
Insights
Myocardial infarction causes harmful changes to the heart. This review explores epicardial restraint devices as a new treatment to reverse cardiac remodeling and improve outcomes after heart attack.
Area of Science:
- Cardiology
- Biomedical Engineering
Background:
- Myocardial infarction triggers progressive cardiac remodeling, affecting myocytes and nonmyocytes.
- Despite current treatments, heart failure remains a significant post-myocardial infarction complication with high mortality.
- Left ventricular (LV) remodeling is a key driver of disease progression.
Purpose of the Study:
- To review the emerging role of epicardial restraint devices.
- To discuss their potential in treating post-myocardial cardiac remodeling.
Main Methods:
- Literature review of studies on epicardial restraint devices.
- Analysis of their impact on LV remodeling and clinical outcomes.
Main Results:
- Epicardial restraint devices show promise in attenuating and potentially reversing LV remodeling.
- These devices offer a novel therapeutic strategy beyond current evidence-based treatments.
Conclusions:
- Epicardial restraint devices represent a promising innovation for managing post-myocardial infarction cardiac remodeling.
- Further research is needed to establish their long-term efficacy and clinical utility.
Abstract:
Myocardial infarction initiates progressive changes in the biology of the myocyte and nonmyocyte components of the myocardium, as well as the geometry of the left ventricle. Despite the use of evidence-based strategies to postmyocardial infarction, heart failure supervenes and is attended by an unacceptably high mortality rate. Given that left ventricular (LV) remodeling may contribute independently to disease progression, several innovative approaches have been designed to attenuate and reverse LV remodeling. This review discusses the emerging role of epicardial restraint devices in the treatment of postmyocardial cardiac remodeling.
Related Concept Videos
Heart Failure II: Pathophysiology
Aortic Regurgitation III: Medical Management
Cardiomyopathy II: Dilated Cardiomyopathy
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Cardiomyopathy V: Interprofessional Care
Cardiomyopathy III: Hypertrophic Cardiomyopathy

