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Am J Physiol Heart Circ Physiol (September 7, 2007). doi:10.1152/ajpheart.00684.2007
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Submitted on June 13, 2007
Accepted on September 5, 2007

Arterial Remodeling in Response to Hypertension Using a Constituent-based Model

Alkiviadis Tsamis1* and Nikos Stergiopulos1

1 Laboratory of Hemodynamics and Cardiovascular Technology, Ecole Polytechnique Federale de Lausanne, Lausanne, Vaud, Switzerland

* To whom correspondence should be addressed. E-mail: alkiviadis.tsamis{at}epfl.ch.

Hypertension-induced arterial remodeling has been modeled earlier using stress-driven remodeling rate equations in terms of global geometrical adaptation (Rachev et al., 1996), and was extended later to include adaptation of material properties (Rachev et al., 1998). These models, however, used a phenomenological strain energy function (SEF), the parameters of which do not bear a clear physiological meaning. We here extend the work of Rachev et al. (1998) by applying similar remodeling rate equations to a constituent-based SEF. The new SEF includes a statistical description for collagen engagement, and remodeling affects now material properties only through changes in collagen engagement probability density function. The model predicts asymptotic wall thickening and unchanged deformed inner radius as to conserve hoop stress and intimal shear stress, respectively, at the final adapted hypertensive state. Mechanical adaptation serves to restore arterial compliance to control levels. Average circumferential stress-strain curves show that the material at the final adapted hypertensive state is softer than its normotensive counterpart. These findings as well as the predicted pressure-diameter curves are in good qualitative agreement with experimental data. The novelty in our findings is that biomechanical adaptation leading to maintenance of compliance at the hypertensive state can be perfectly achieved by appropriate readjustment of the collagen engagement profile alone.




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