Computer modeling of the effects of aortic valve stenosis and arterial system afterload on left ventricular hypertrophy

John K.J. Li, Janet Ying Zhu, Michele Nanna

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

The degree of left ventricular hypertrophy is generally thought to reflect the severity of aortic stenosis. However, the compounded influence of arterial system load is poorly understood. We developed a computer model to investigate the effects of aortic valve stenosis in combination with various systemic arterial parameters in the development of left ventricular hypertrophy. Data show that an increased peripheral resistance and/or aortic valve resistance, results in an increase in left ventricular wall thickness and mass, while peak systolic wall stress remains constant. Changing arterial compliance to above normal level would not induce significant changes in wall thickness, while reduction in arterial compliance below normal would cause an increase in ventricular wall thickness. When a double load is imposed on the left ventricle by way of a stenotic valve and an increased arterial afterload, a greater and an aggregated increase in wall thickness results, hastening the hypertrophic process.

Original languageAmerican English
Pages (from-to)477-485
Number of pages9
JournalComputers in Biology and Medicine
Volume27
Issue number6
DOIs
StatePublished - Nov 1997

ASJC Scopus subject areas

  • Health Informatics
  • Computer Science Applications

Keywords

  • Aortic valve stenosis
  • Arterial compliance and resistance
  • Hypertension
  • Left ventricular hypertrophy
  • Remodeling
  • Wall thickness

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