We investigation whether strain softening (or the Mullins effect) may
explain the reduced left ventricular stiffness previously associated w
ith the strain-history-dependent preconditioning phenomenon. Passive p
ressure-volume relations were measured in the isolated arrested rat he
art during LV balloon inflation and deflation cycles. With inflation t
o a new higher maximum pressure, the pressure-volume relation became l
ess stiff, particularly in the low (diastolic) pressure range, without
a significant change in unloaded vertricular volume. In five differen
t lending protocols in which the maximum passive cycle pressure ranged
from 10 to 120 mmHg, we measured influences at 10 mmHg in LV volume u
p to 350 percent of inloaded volume that depended significantly on the
history (p < 0.05) and magnitude (p < 0.01) of maximum previous press
ure. Although a quasi-linear viscoelastic model based on the pressure-
relaxation response could produce a nonlinear pressure-volume relation
with hysteresis, it was unable to show any significant change in vent
ricular stiffness with new maximum pressure. We incorporated a strain
Softening theory proposed by Johnson and Beatty (1992) into the model
by modifying the elastic response with a volume-amplification factor t
hat depended an the maximum previous pressure. This model more accurat
ely reproduced the experimentally observed behavior. Thus, the precond
itioning behavior of tile myocardium is better explained by strain sof
tening rather than viscoelasticity and may be duc to damage to elastic
components, rather than the effects of viscous tissue components.