On in-silico estimation of left ventricular end-diastolic pressure from cardiac strains

Fuente: arXiv
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Autori principali: Mendiola, Emilio A., Mehdi, Raza Rana, Shah, Dipan J., Avazmohammadi, Reza
Natura: Preprint
Pubblicazione: 2024
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author Mendiola, Emilio A.
Mehdi, Raza Rana
Shah, Dipan J.
Avazmohammadi, Reza
author_facet Mendiola, Emilio A.
Mehdi, Raza Rana
Shah, Dipan J.
Avazmohammadi, Reza
contents Left ventricular diastolic dysfunction (LVDD) is a group of diseases that adversely affect the passive phase of the cardiac cycle and can lead to heart failure. While left ventricular end-diastolic pressure (LVEDP) is a valuable prognostic measure in LVDD patients, traditional invasive methods of measuring LVEDP present risks and limitations, highlighting the need for alternative approaches. This paper investigates the possibility of measuring LVEDP non-invasively using inverse in-silico modeling. We propose the adoption of patient-specific cardiac modeling and simulation to estimate LVEDP and myocardial stiffness from cardiac strains. We have developed a high-fidelity patient-specific computational model of the left ventricle. Through an inverse modeling approach, myocardial stiffness and LVEDP were accurately estimated from cardiac strains that can be acquired from in vivo imaging, indicating the feasibility of computational modeling to augment current approaches in the measurement of ventricular pressure. Integration of such computational platforms into clinical practice holds promise for early detection and comprehensive assessment of LVDD with reduced risk for patients.
format Preprint
id arxiv_https___arxiv_org_abs_2405_18343
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle On in-silico estimation of left ventricular end-diastolic pressure from cardiac strains
Mendiola, Emilio A.
Mehdi, Raza Rana
Shah, Dipan J.
Avazmohammadi, Reza
Tissues and Organs
Left ventricular diastolic dysfunction (LVDD) is a group of diseases that adversely affect the passive phase of the cardiac cycle and can lead to heart failure. While left ventricular end-diastolic pressure (LVEDP) is a valuable prognostic measure in LVDD patients, traditional invasive methods of measuring LVEDP present risks and limitations, highlighting the need for alternative approaches. This paper investigates the possibility of measuring LVEDP non-invasively using inverse in-silico modeling. We propose the adoption of patient-specific cardiac modeling and simulation to estimate LVEDP and myocardial stiffness from cardiac strains. We have developed a high-fidelity patient-specific computational model of the left ventricle. Through an inverse modeling approach, myocardial stiffness and LVEDP were accurately estimated from cardiac strains that can be acquired from in vivo imaging, indicating the feasibility of computational modeling to augment current approaches in the measurement of ventricular pressure. Integration of such computational platforms into clinical practice holds promise for early detection and comprehensive assessment of LVDD with reduced risk for patients.
title On in-silico estimation of left ventricular end-diastolic pressure from cardiac strains
topic Tissues and Organs
url https://arxiv.org/abs/2405.18343