Evaluation of ventricular wall stress and cardiac function in patients with dilated cardiomyopathy

Francesco Scardulla, Antonino Rinaudo, Salvatore Pasta, Cesare Scardulla

Research output: Contribution to journalArticlepeer-review

Abstract

Dilated cardiomyopathy is a heart disease characterized by both left ventricular dilatation and left ventricular systolic dysfunction, leading to cardiac remodeling and ultimately heart failure. We aimed to investigate the effect of dilated cardiomyopathy on the pump performance and myocardial wall mechanics using patient-specific finite element analysis. Results evinced pronounced end-systolic wall stress on left ventricular wall of patients with dilated cardiomyopathy as compared to that of normal hearts. In dilated cardiomyopathy, both end-diastolic and end-systolic pressure-volume relationships of left ventricle and right ventricle were shifted to the right compared to controls, suggesting reduced myocardial contractility. We hereby propose that finite element analysis represents a useful tool to assess the myocardial wall stress and cardiac work, which are responsible for progressive left ventricular deterioration and poor clinical course.

Original languageEnglish
Pages (from-to)71-74
Number of pages4
JournalProceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine
Volume230
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

Keywords

  • cardiac mechanics
  • Dilated cardiomyopathy
  • finite element analysis
  • wall stress

ASJC Scopus subject areas

  • Mechanical Engineering
  • Medicine(all)

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