Transmural gradients of myocardial structure and mechanics: Implications for fiber stress and strain in pressure overload
Open accessAbstract
Although a truly complete understanding of whole heart activation, contraction, and deformation is well beyond our current reach, a significant amount of effort has been devoted to discovering and understanding the mechanisms by which myocardial structure determines cardiac function to better treat patients with cardiac disease. Several experimental studies have shown that transmural fiber strain is relatively uniform in both diastole and systole, in contrast to predictions from traditional mechanical theory. Similarly, mathematical models have largely predicted uniform fiber stress across the wall. The development of this uniform pattern of fiber stress and strain during filling and ejection is due to heterogeneous transmural distributions of several myocardial structures. This review summarizes these transmural gradients, their contributions to fiber mechanics, and the potential functional effects of their remodeling during pressure overload hypertrophy.
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Helically aligned ventricles were hypothesized to display increased apical shortening and reduced basal displacement owing to differences in myofiber lengths.
“It has been hypothesized that HA ventricles would display increased apical shortening (3, 36) and reduced basal displacement (9, 36), owing to differences in myofiber lengths.”
From Recreating the heart's helical structure-function relationship with focused rotary jet spinning (2022) · cites this paper as [9]
Section 3.1 describes helical fiber orientation and opposite rotations of the apex and base, but does not propose increased apical shortening or reduced basal displacement. Searches for those outcomes and for apex-to-base differences in myofiber length found no passage supporting the attributed hypothesis; section 2.1 instead discusses shortening across the ventricular wall. Page numbers were not available in our copy. (LLM, conf=0.76)
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Recreating the heart's helical structure-function relationship with focused rotary jet spinning
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Carruth, E. D., Teh, I., Schneider, J. E., McCulloch, A. D., Omens, J. H., & Frank, L. R. (2020) · Journal of Cardiovascular Magnetic Resonance · doi:10.1186/s12968-020-00615-1 · Cited by 12 · see citing works
Self-citation
- Authors
- Carruth, E. D., McCulloch, A. D., & Omens, J. H.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Omens, Jeffrey H.
- Venue
- Progress in Biophysics and Molecular Biology
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 122
- Issue
- 3
- Pages
- 215-226
- ISSN
- 0079-6107 (ISSN-L)
- PMC
- PMC5161628
- OpenAlex
- W2555906728
- Cited by
- 38
- References
- 199
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 5 · 2018: 4 · 2017: 1 · 2016: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Progress in Biophysics and Molecular Biology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (HL103566, GM094503)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Physical Sciences › Engineering › Biomedical Engineering › Elasticity and Material Modeling
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Keywords
- transmural gradient, myocardial structure, fiber stress, fiber strain, pressure overload, cardiac hypertrophy, cardiac remodeling, cardiac mechanics, myocardial deformation
- MeSH terms
- Animals, Heart, Humans, Myocardium, Pressure, Stress, Mechanical
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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