Evidence map›Paper›PMID 41994113›Full record

ArticleResearch square2026

A finite element computational framework coupling four-chamber heart mechanics with the systemic and pulmonary circulations.

Vahid Ziaei-Rad, Sandra Hager, Kenneth S Campbell, Jonathan F Wenk, Lik-Chuan Lee

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In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Vahid Ziaei-RadDepartment of Mechanical Engineering, Michigan State University, East Lansing, MI, United States.
Sandra HagerDepartment of Mechanical Engineering, Michigan State University, East Lansing, MI, United States.
Kenneth S CampbellDivision of Cardiovascular Medicine, Department of Physiology, University of Kentucky, Lexington, KY, United States.
Jonathan F WenkDepartment of Mechanical and Aerospace Engineering, University of Kentucky, Lexington, KY, United States.
Lik-Chuan LeeDepartment of Mechanical Engineering, Michigan State University, East Lansing, MI, United States.

Funding

Mathematical Model-Based Optimization of CRT Response in IschemiaR01HL166508 · NHLBI · CALIFORNIA MEDICAL INNOVATIONS INSTITUTE · PI GHASSAN S KASSAB, Lik Chuan Lee · 2023 to 2026
$3.1M
Data-driven optimization of therapy for heart failureR01HL163977 · NHLBI · UNIVERSITY OF KENTUCKY · PI CAMPBELL, KENNETH S, LEE, LIK CHUAN · 2022 to 2025
$2.4M
NHLBI NIH HHS R01 HL163977NHLBI NIH HHS R01 HL166508
6 · The paper itself

Abstract

We present a computational four-chamber heart modeling framework that integrates a 3D finite element (FE) model of heart mechanics with a 0D model of the systemic and pulmonary circulations in a closed-loop system. The computational framework incorporates patient-specific geometry, rule-based myocardial fiber architecture, and nonlinear transversely isotropic tissue mechanics to simulate the full cardiac cycle. A bidirectional 3D-0D coupling strategy together with physiologic epicardial boundary conditions enables stable beat-to-beat simulations. Built on the open-source FEniCS platform with a residual-based stabilized mixed (P1-P1) FE formulation, the computational framework is able to produce pressure-volume loops of the four chambers and myocardial strain waveforms that are comparable to those measured in healthy humans. The framework is used to simulate inter-ventricular interactions arising from a reduction in contractility of the left ventricle (LV) and right ventricle (RV). A reduction in LV contractility produces a 4.9% decrease in RV peak pressure whereas a reduction in RV contractility produces a 20% decrease in LV peak pressure. The framework sets the foundation for patient-specific whole-heart simulations of cardiovascular diseases and treatments in future work.

Indexed as

Cardiac mechanicsDigital twin cardiologyFour-chamber heart modelPatient-specific heart simulationWhole-heart modeling

Identifiers

PMID41994113
PMCPMC13082162

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.