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Regional Left Ventricular Epicardial Deformation in the Passive Dog Heart

 

作者: Andrew McCulloch,   Bruce Smaill,   Peter Hunter,  

 

期刊: Circulation Research  (OVID Available online 1989)
卷期: Volume 64, issue 4  

页码: 721-733

 

ISSN:0009-7330

 

年代: 1989

 

出版商: OVID

 

数据来源: OVID

 

摘要:

&NA;Epicardial wall motion was measured on the left ventricular free wall in six isolated potassium‐arrested dog hearts using a biplane video technique. Significant regional variations in epicardial deformations were recorded during static ventricular filling. Epicardial stretches varied linearly with cavity volume, sometimes exceeding 20% at physiological left ventricular end‐diastolic pressures. The maximum component of epicardial stretch and the derived wall thinning increased substantially from the base to the apex on both the anterior and the posterior free walls of the left ventricle. In five hearts, the direction of greatest epicardial stretch at moderate and high filling pressures coincided closely with the local epicardial fiber direction, suggesting that the left‐handed epicardial fiber helices stretch preferentially during passive filling to maximize end‐diastolic fiber lengths. Epicardial rotation was always counterclockwise, consistent with a reduction in the pitch of the fiber helix during filling. These results suggest that, on the epicardial surface, the passive myocardium is anisotropic with respect to the local fiber direction. We suggest that the resulting torsional shear acts to minimize transmural gradients of fiber stretch. (Circulation Research1989;64:721‐733)

 

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