title: Computational modelling of left-ventricular diastolic mechanics: effect of fibre orientation and right-ventricle topology.
abstract: Majority of heart failure patients who suffer from diastolic dysfunction retain normal systolic pump action. The dysfunction remodels the myocardial fibre structure of left-ventricle (LV), changing its regular diastolic behaviour. Existing LV diastolic models ignored the effects of right-ventricular (RV) deformation, resulting in inaccurate strain analysis of LV wall during diastole. This paper, for the first time, proposes a numerical approach to investigate the effect of fibre-angle distribution and RV deformation on LV diastolic mechanics. A finite element modelling of LV passive inflation was carried out, using structure-based orthotropic constitutive law. Rule-based fibre architecture was assigned on a bi-ventricular (BV) geometry constructed from non-invasive imaging of human heart. The effect of RV deformation on LV diastolic mechanics was investigated by comparing the results predicted by BV and single LV model constructed from the same image data. Results indicated an important influence of RV deformation which led to additional LV passive inflation and increase of average fibre and sheet stress-strain in LV wall during diastole. Sensitivity of LV passive mechanics to the changes in the fibre distribution was also examined. The study revealed that LV diastolic volume increased when fibres were aligned more towards LV longitudinal axis. Changes in fibre angle distribution significantly altered fibre stress-strain distribution of LV wall. The simulation results strongly suggest that patient-specific fibre structure and RV deformation play very important roles in LV diastolic mechanics and should be accounted for in computational modelling for improved understanding of the LV mechanics under normal and pathological conditions.
authors.affiliation: WMG, The University of Warwick, Coventry, UK. Electronic address: arnab.palit@warwick.ac.uk.
authors.forename: Arnab
authors.initials: A
authors.lastname: Palit
authors.affiliation: University Hospitals Coventry and Warwickshire, Coventry, UK.
authors.forename: Sunil K
authors.initials: SK
authors.lastname: Bhudia
authors.affiliation: Institute of Digital Healthcare, WMG, The University of Warwick, Coventry, UK.
authors.forename: Theodoros N
authors.initials: TN
authors.lastname: Arvanitis
authors.affiliation: WMG, The University of Warwick, Coventry, UK.
authors.forename: Glen A
authors.initials: GA
authors.lastname: Turley
authors.affiliation: WMG, The University of Warwick, Coventry, UK.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Williams
mesh_terms: D001696:Biomechanical Phenomena / Q000502:physiology; D003198:Computer Simulation; D003971:Diastole / Q000502:physiology; D006333:Heart Failure / Q000473:pathology / Q000503:physiopathology; D006352:Heart Ventricles / Q000473:pathology* / Q000503:physiopathology*; D006801:Humans; D008955:Models, Cardiovascular; D008962:Models, Theoretical; D009206:Myocardium / Q000473:pathology*; D013599:Systole / Q000502:physiology; D020257:Ventricular Remodeling / Q000502:physiology
keywords: Bi-ventricular geometry; Fibre structure; Finite element methods; Ventricular diastolic mechanics