Evidence map›Paper›PMID 33338654›Full record

ArticleActa biomaterialia2021

Right ventricular myocardial mechanics: Multi-modal deformation, microstructure, modeling, and comparison to the left ventricle.

Sotirios Kakaletsis, William D Meador, Mrudang Mathur, Gabriella P Sugerman, Tomasz Jazwiec, Marcin Malinowski, Emma Lejeune, Tomasz A Timek, Manuel K Rausch

Open access · greenAbstract read
In one paragraph

Article in Acta biomaterialia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 51 citations in OpenAlex.

  1. Constitutive discovery in the living human heart.bioRxiv : the preprint server for biology · 2026
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  9. Stress relaxation rates of myocardium from failing and non-failing hearts.Biomechanics and modeling in mechanobiology · 2025
    Article
  10. Article
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  13. Segmenting mechanically heterogeneous domains via unsupervised learning.Biomechanics and modeling in mechanobiology · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. A cell-based framework for modeling cardiac mechanics.Biomechanics and modeling in mechanobiology · 2023
    Article
  19. Article
  20. An introduction to the Ogden model in biomechanics: benefits, implementation tools and limitations.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Sotirios KakaletsisDepartment of Aerospace Engineering and Engineering Mechanics, The University of Texas at Austin, Austin, TX 78712, USA.
William D MeadorDepartment of Biomedical Engineering, The University of Texas at Austin, Austin, TX 78712, USA.
Mrudang MathurDepartment of Mechanical Engineering, The University of Texas at Austin, Austin, TX, 78712, USA.
Gabriella P SugermanDepartment of Biomedical Engineering, The University of Texas at Austin, Austin, TX 78712, USA.
Tomasz JazwiecCardiothoracic Surgery, Spectrum Health, Grand Rapids, MI, 49503, USA; Department of Cardiac, Vascular, and Endovascular Surgery and Transplantology, Medical University of Silesia School of Medicine in Katowice, Silesian Centre for Heart Diseases, Zabrze, Poland.
Marcin MalinowskiCardiothoracic Surgery, Spectrum Health, Grand Rapids, MI, 49503, USA; Department of Cardiac Surgery, Medical University of Silesia School of Medicine in Katowice, Katowice, Poland.
Emma LejeuneDepartment of Mechanical Engineering, Boston University, Boston, MA, 02215, USA.
Tomasz A TimekCardiothoracic Surgery, Spectrum Health, Grand Rapids, MI, 49503, USA.
Manuel K RauschDepartment of Aerospace Engineering and Engineering Mechanics, The University of Texas at Austin, Austin, TX 78712, USA; Department of Biomedical Engineering, The University of Texas at Austin, Austin, TX 78712, USA; Oden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, 78712, USA. Electronic address: manuel.rausch@utexas.edu.
The University of Texas at Austin · USSpectrum Health · USBoston University · US

Funding

Tricuspid valve adaptation to right heart disease: A multiscale, histomechanical study in sheepF31HL145976 · NHLBI · UNIVERSITY OF TEXAS AT AUSTIN · PI MEADOR, WILLIAM D · 2019 to 2021
$90k
NHLBI NIH HHS F31 HL145976
6 · The paper itself

Abstract

The right ventricular myocardium, much like the rest of the right side of the heart, has been consistently understudied. Presently, little is known about its mechanics, its microstructure, and its constitutive behavior. In this work, we set out to provide the first data on the mechanics of the mature right ventricular myocardium in both simple shear and uniaxial loading and to compare these data to the mechanics of the left ventricular myocardium. To this end, we tested ovine tissue samples of the right and left ventricle under a comprehensive mechanical testing protocol that consisted of six simple shear modes and three tension/compression modes. After mechanical testing, we conducted a histology-based microstructural analysis on each right ventricular sample that yielded high resolution fiber distribution maps across the entire samples. Equipped with this detailed mechanical and histological data, we employed an inverse finite element framework to determine the optimal form and parameters for microstructure-based constitutive models. The results of our study show that right ventricular myocardium is less stiff then the left ventricular myocardium in the fiber direction, but similarly exhibits non-linear, anisotropic, and tension/compression asymmetric behavior with direction-dependent Poynting effect. In addition, we found that right ventricular myocardial fibers change angles transmurally and are dispersed within the sheet plane and normal to it. Through our inverse finite element analysis, we found that the Holzapfel model successfully fits these data, even when selectively informed by rudimentary microstructural information. And, we found that the inclusion of higher-fidelity microstructural data improved the Holzapfel model's predictive ability. Looking forward, this investigation is a critical step towards understanding the fundamental mechanical behavior of right ventricular myocardium and lays the groundwork for future whole-organ mechanical simulations.

Indexed as

Heart VentriclesMyocardiumAnimalsAnisotropyFinite Element AnalysisHeartSheepStress, MechanicalAnisotropyHeterogeneityHistologyHyperelasticityMaterial modelsSimple shearUniaxial tension and compression

Identifiers

PMID33338654
PMCPMC7946450
OpenAlexW3111284614

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.