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Cell-based description of ventricular contraction in a model of the human cardiovascular system

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Cell‐based description of ventricular contraction in a model

of the human cardiovascular system

S. Kosta

1

, J. Negroni

2

, E. Lascano

2

, P. C. Dauby

1

1

University of Liège, GIGA - Cardiovascular Sciences, Belgium

2

Department of Compara�ve Cellular end Molecular Biology, Favaloro University,

Buenos Aires, Argen�na

Results

Conclusion

Acknowledgements

Contact

A mul�scale model of the cardiovascular system is presented, where hemodynamics is described by a lumped parameter model, while heart contrac�on is described at the cellular scale.

Pulmonary artery Pulmonary vein Le� ventricle Aorta Vena cava Right ventricle Pulmonary circula�on Systemic circula�on

Passive chamber: Ac�ve chamber:

ACTIVE CONTRACTION

Flow through the vessels:

Volume varia�on: Po Pi R Q Qin Qout V Cardiac valve: pressure volume elastance Thick filament Thin filament Parallel element

Electrophysiology Calcium kine�cs Mechanical contrac�on

From cell to ventricle

Baseline

Heart failure

End-systolic elastance: a good index of cardiac contrac�lity ?

Par�cular a�en�on was paid to the sarcomere length, which must vary between physiological extremes.

A prolonged ac�on poten�al, a lower intracellular calcium and a weaker produced force are characteris�c symptoms of heart failure.

This leads to smaller pressure-volume loops.

Pressure-volume loops are correctly reproduced, as well as the different flows and pressures �me evolu�on.

A good cardiac contrac�lity index should only vary with inotropy and not with load. End-systolic elastance (Ees) is the gold standard for assessing cardiac contrac�lty, but with our model we show that this index is load-dependent.

Load varia�on Hemorrhage (preload decrease) Rmt increase (preload decrease) Rsys increase (a�erload increase)

Ees calcula�on Results

Ees is calculated with a linear regression over the three first end-systolic points of the PV loop

Our mul�scale model of the human cardiovascular system is able to reproduce baseline results at both scales (cellular and hemodynamic). It can also reproduce pathological behaviors that originate at the cellular scale, like heart failure. It also indicates that the end-systolic elastance is not load-independent, as o�en assumed in many CVS models using the varying elastance to describe heart contrac�on.

P. D. acknowledges for FRS-FNRS travel support.

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