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The Law of LaplaceIts Limitations as a Relation for Diastolic Pressure, Volume, or Wall Stress of the Left Ventricle

 

作者: THOMAS MORIARTY,  

 

期刊: Circulation Research  (OVID Available online 1980)
卷期: Volume 46, issue 3  

页码: 321-331

 

ISSN:0009-7330

 

年代: 1980

 

出版商: OVID

 

数据来源: OVID

 

摘要:

I made a detailed comparative examination of five mathematical models of left ventricular (LV) mechanics: the Laplace model, Lame model, Valanis-Landel model, Rivlin-Saunders model, and a nonhomogeneous version of the Valanis-Landel model. All five models are used to predict LV pressure- volume (P-V) and pressure-wall stress (P-S) behavior using the same geometric and stress-strain data (rat data is used as an example). These predictions are presented in graphical form for comparison with each other and observed LV P-V behavior. The first model, based on the Law of Laplace, uses the thin wall approximation in three distinct ways, and this approximation is not consistent with LV mechanics. The small deformation and linear stress-strain assumptions of the Lame model also are inconsistent with LV mechanics. Two more homogeneous models (Valanis-Landel and Rivlin-Saunders) avoid the errors of the first two. The discrepancy in the predictions of these two models demonstrates that uniaxial stress-strain data of papillary muscle are insufficient to characterize the multiaxial stress- strain behavior of myocardial tissue. Finally, a nonhomogeneous version of the Valanis-Landel model which explores the variation of myocardial stress-strain behavior needed to achieve constant wall stress is presented. Circ Res 46: 321-331, 1980

 

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