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Related Concept Videos

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

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Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
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Related Experiment Video

Updated: Jun 9, 2025

Isolation of Mouse Interstitial Valve Cells to Study the Calcification of the Aortic Valve In Vitro
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Computational Model for Early-Stage Aortic Valve Calcification Shows Hemodynamic Biomarkers.

Asad Mirza1, Chia-Pei Denise Hsu1, Andres Rodriguez1

  • 1Department of Biomedical Engineering, Florida International University, Miami, FL 33174, USA.

Bioengineering (Basel, Switzerland)
|October 25, 2024
PubMed
Summary
This summary is machine-generated.

Tracking hemodynamics may offer a new way to monitor early-stage heart valve calcification. This study found increased wall shear stress in calcified bioscaffold valves, suggesting a potential biomarker for calcific aortic valve disease (CAVD).

Keywords:
CAVDPSISaortic valvebioscaffoldfluid–structure interactionhemodynamicshydrodynamicsnanoindentationtissue engineering

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Area of Science:

  • Biomaterials Science
  • Cardiovascular Research
  • Medical Engineering

Background:

  • Heart disease remains a leading cause of mortality globally.
  • Calcific aortic valve disease (CAVD) is the most common form, necessitating early detection for effective patient management.
  • Predictive markers for early CAVD are crucial for timely intervention before aortic valve replacement surgery.

Purpose of the Study:

  • To investigate hydrodynamic, mechanical, and hemodynamic differences between healthy and early-stage calcified porcine small intestinal submucosa (PSIS) bioscaffold valves.
  • To identify potential parameters for tracking CAVD progression.
  • To assess the suitability of PSIS bioscaffolds for modeling early CAVD.

Main Methods:

  • Three groups of PSIS valves were tested: raw (control), calcified (seeded with VICs/VECs) in static conditions, and calcified (seeded with VICs/VECs) in bioreactor oscillatory flow.
  • Hydrodynamic assessments and mechanical testing (Young's modulus) were performed.
  • Fluid-structure interaction (FSI) simulations were conducted to analyze hemodynamic parameters like time-averaged wall shear stress (TAWSS).

Main Results:

  • Hydrodynamic metrics in calcified valves were below thresholds for mild calcification.
  • A significant increase in Young's modulus was observed in calcified valves compared to raw PSIS, indicating altered tissue structure.
  • FSI simulations showed a significant increase in TAWSS in calcified valve groups compared to the raw control group.

Conclusions:

  • While hydrodynamic metrics were not indicative of early calcification, increased mechanical stiffness (Young's modulus) suggests structural changes.
  • Fluid-structure interaction simulations revealed a significant increase in time-averaged wall shear stress (TAWSS) in calcified valves.
  • Hemodynamic monitoring, specifically TAWSS, may serve as a viable biomarker for early-stage calcific aortic valve disease (CAVD) tracking.