Impact of intraventricular septal fiber orientation on cardiac electromechanical function
QUESSON, Bruno
Institut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
IHU-LIRYC
Centre de recherche Cardio-Thoracique de Bordeaux [Bordeaux] [CRCTB]
< Réduire
Institut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
IHU-LIRYC
Centre de recherche Cardio-Thoracique de Bordeaux [Bordeaux] [CRCTB]
Langue
en
Article de revue
Ce document a été publié dans
AJP - Heart and Circulatory Physiology. 2022-06-01, vol. 322, n° 6, p. H936 - H952
American Physiological Society
Résumé en anglais
Cardiac fiber direction is an important factor determining the propagation of electrical activity, as well as the development of mechanical force. In this article, we imaged the ventricles of several species with special ...Lire la suite >
Cardiac fiber direction is an important factor determining the propagation of electrical activity, as well as the development of mechanical force. In this article, we imaged the ventricles of several species with special attention to the intraventricular septum to determine the functional consequences of septal fiber organization. First, we identified a dual-layer organization of the fiber orientation in the intraventricular septum of ex vivo sheep hearts using diffusion tensor imaging at high field MRI. To expand the scope of the results, we investigated the presence of a similar fiber organization in five mammalian species (rat, canine, pig, sheep, and human) and highlighted the continuity of the layer with the moderator band in large mammalian species. We implemented the measured septal fiber fields in three-dimensional electromechanical computer models to assess the impact of the fiber orientation. The downward fibers produced a diamond activation pattern superficially in the right ventricle. Electromechanically, there was very little change in pressure volume loops although the stress distribution was altered. In conclusion, we clarified that the right ventricular septum has a downwardly directed superficial layer in larger mammalian species, which can have modest effects on stress distribution. NEW & NOTEWORTHY A dual-layer organization of the fiber orientation in the intraventricular septum was identified in ex vivo hearts of large mammals. The RV septum has a downwardly directed superficial layer that is continuous with the moderator band. Electrically, it produced a diamond activation pattern. Electromechanically, little change in pressure volume loops were noticed but stress distribution was altered. Fiber distribution derived from diffusion tensor imaging should be considered for an accurate strain and stress analysis.< Réduire
Mots clés en anglais
Intraventricular Septum, Fiber Orientation, Electromechanical models, Diffusion Tensor imaging, Normal structural discontinuities
Project ANR
Contrôle des Ablations Radiofréquence par Thermométrie (IRM) pour Les Oreillettes et VEntricules - ANR-17-CE19-0007
Origine
Importé de halUnités de recherche