A Micro-anatomical Model of the Infarcted Left Ventricle Border Zone to Study the Influence of Collagen Undulation

Emilio A. Mendiola, Eric Wang, Abby Leatherman, Qian Xiang, Sunder Neelakantan, Peter Vanderslice, Reza Avazmohammadi

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Scopus citations

Abstract

Myocardial infarction (MI) results in cardiac myocyte death and often initiates the formation of a fibrotic scar in the myocardium surrounded by a border zone. Myocyte loss and collagen-rich scar tissue heavily influence the biomechanical behavior of the myocardium which could lead to various cardiac diseases such as systolic heart failure and arrhythmias. Knowledge of how myocyte and collagen micro-architecture changes affect the passive mechanical behavior of the border zone remains limited. Computational modeling provides us with an invaluable tool to identify and study the mechanisms driving the biomechanical remodeling of the myocardium post-MI. We utilized a rodent model of MI and an image-based approach to characterize the three-dimensional (3-D) myocyte and collagen micro-architecture at various timepoints post-MI. Left ventricular free wall (LVFW) samples were obtained from infarcted hearts at 1-week and 4-week post-MI (n = 1 each). Samples were labeled using immunoassays to identify the extracellular matrix (ECM) and myocytes. 3-D reconstructions of the infarct border zone were developed from confocal imaging and meshed to develop high-fidelity micro-anatomically accurate finite element models. We performed a parametric study using these models to investigate the influence of collagen undulation on the passive micromechanical behavior of the myocardium under a diastolic load. Our results suggest that although parametric increases in collagen undulation elevate the strain amount experienced by the ECM in both early- and late-stage MI, the sensitivity of myocytes to such increases is reduced from early to late-stage MI. Our 3-D micro-anatomical modeling holds promise in identifying mechanisms of border zone maladaptation post-MI.

Original languageEnglish (US)
Title of host publicationFunctional Imaging and Modeling of the Heart - 12th International Conference, FIMH 2023, Proceedings
EditorsOlivier Bernard, Patrick Clarysse, Nicolas Duchateau, Jacques Ohayon, Magalie Viallon
PublisherSpringer Science and Business Media Deutschland GmbH
Pages34-43
Number of pages10
Volume13958
ISBN (Print)9783031353017
DOIs
StatePublished - Jun 2023
EventFunctional Imaging and Modeling of the Heart - 12th International Conference, FIMH 2023, Proceedings - Lyon, France
Duration: Jun 19 2023Jun 22 2023

Publication series

NameFunctional imaging and modeling of the heart : ... International Workshop, FIMH ..., proceedings. FIMH

Conference

ConferenceFunctional Imaging and Modeling of the Heart - 12th International Conference, FIMH 2023, Proceedings
Country/TerritoryFrance
CityLyon
Period6/19/236/22/23

Keywords

  • border zone
  • cardiac remodeling
  • confocal imaging
  • finite element modeling
  • myocardial infarction

ASJC Scopus subject areas

  • Theoretical Computer Science
  • Computer Science(all)

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