Effects of scar architecture on cardiac strains in myocardial infarction

Vahid Naeini, Seyed Babak Peighambari, Rana Raza Mehdi, Emilio A. Mendiola, Tanmay Mukherjee, Reza Avazmohammadi

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

Abstract

Myocardial infarction (MI) alters the structural and mechanical behavior of the heart and causes impairment in organ-level function. This study employs an in-silico biventricular heart model developed from high-resolution magnetic resonance imaging (MRI) to simulate an infarcted heart and examine the effects of infarct size and fiber alignment on regional cardiac mechanics. The results show that both increasing the scar size as well as increasing the level of fiber disarray in the infarct have a negative effect on average fiber strains. Increased scar size from 30% to 70% (of the left ventricle myocardial volume) reduced contractile strains in remote tissue by nearly 20%, whereas contractile strain was reduced by 6% as a result of introducing a 50% fiber disarray in the infarct region. This research highlights the importance of characterizing scar properties to improve understanding of post-MI remodeling and to inform therapeutic strategies aimed at preserving or restoring heart function.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2025
Subtitle of host publicationImage-Guided Procedures, Robotic Interventions, and Modeling
EditorsMaryam E. Rettmann, Jeffrey H. Siewerdsen
PublisherSPIE
ISBN (Electronic)9781510685949
DOIs
StatePublished - 2025
EventMedical Imaging 2025: Image-Guided Procedures, Robotic Interventions, and Modeling - San Diego, United States
Duration: Feb 17 2025Feb 20 2025

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume13408
ISSN (Print)1605-7422

Conference

ConferenceMedical Imaging 2025: Image-Guided Procedures, Robotic Interventions, and Modeling
Country/TerritoryUnited States
CitySan Diego
Period2/17/252/20/25

Keywords

  • Cardiac Mechanics
  • Computational Biomechanics
  • In-Silico Modeling
  • Myocardial Infarction

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Atomic and Molecular Physics, and Optics
  • Biomaterials
  • Radiology Nuclear Medicine and imaging

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