Directional dependence on concomitant pressure and volume increases during left ventricular filling

Abstract

Myocardial infarction continues to be a leading cause of mortality and morbidity globally. A major challenge post-myocardial infarction is scar tissue growth, which eventually can lead to heart failure. Cardiovascular regenerative strategies to minimize scar tissue growth and promote cardiac tissue formation are currently being actively pursued via the development of cardiac patches. However, the patch must have viscoelastic properties that mimic healthy cardiac tissues to facilitate proper cardiac patch-to-cell communications. To this end, we investigated the tissue microstructure and the stress relaxation properties of the porcine left ventricle (LV) along its long and short axes using a nanoindentation technique. We found significantly higher collagen density along the long axis than the short axis (p < 0.05). We then identified a much more rapid stress relaxation along the porcine LV's short axis compared to its long axis during the diastolic filling timeframe. Therefore, these findings show that concomitant LV pressure and volume increases from blood filling during diastole are directional dependent, with its short axis responsible for increase in LV volume and the long axis responsible for increase in LV pressure. These directional-dependent stress relaxation properties are essential in the design of structurally, bio-mimetic cardiac patches to support cardiac function and regeneration.

Keywords: Cardiac patch; Collagen density; Left ventricle; Long axis; Myocardial infarction; Short axis; Viscoelasticity.