ORCID Identifier(s)

ORCID 0009-0006-4092-9465

Graduation Semester and Year

Summer 2025

Language

English

Document Type

Thesis

Degree Name

Master of Science in Biomedical Engineering

Department

Bioengineering

First Advisor

Dr. Jun Liao

Second Advisor

Dr. Chung-Hao Lee

Third Advisor

Dr. Matthias Peltz

Fourth Advisor

Dr. Xiankai Sun

Abstract

Excessive epicardial adipose tissue has been increasingly linked to impaired cardiac function, yet its direct mechanical influence on left ventricular performance remains underexplored. This study employs finite element analysis (FEA) to evaluate the biomechanical effects of excessive adipose tissue on a patient-specific left ventricular model. A CT-derived geometry was processed to generate meshes with and without surrounding excessive adipose tissue. Myocardial material behavior was then simulated using a combination of orthotropic passive and active contraction models. Simulations of passive inflation and active contraction of the left ventricle were conducted to assess changes in chamber volume, pressure-volume relationships, and myocardial stress distribution. The excessive adipose tissue was found to reduce end diastolic volume, decrease ejection fraction and cardiac output, and alter ventricular wall stress distribution. Simulations also demonstrated that, in order to achieve the same end diastolic volume, an increase in pressure was needed. These findings suggest that excessive epicardial adipose tissue causes significant mechanical burden on the left ventricle during both diastolic and systolic cycles. The modeling framework developed here also provides a foundation for future computational modeling and simulations, which has the potential to assist clinicians in evaluating cardiac burden of fatty heart patients and its clinical implications.

Keywords

Fatty Heart, Finite Element Analysis, Cardiac Biomechanics, Epicardial Adipose Tissue

Disciplines

Biomedical Engineering and Bioengineering

Available for download on Thursday, August 12, 2027

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