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Left ventricular twist mechanics in the context of normal physiology and cardiovascular disease: a review of studies using speckle tracking echocardiography

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Author
Stöhr, Eric J.
Shave, Rob
Baggish, A.L.
Weiner, R.B.
Date
2016-09-01
Acceptance date
2016-07-03
Type
Article
Publisher
American Physiological Society
ISSN
0363-6135
1522-1539 (online)
Metadata
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Abstract
The anatomy of the adult human left ventricle (LV) is the result of its complex interaction with its environment. From the fetal to the neonatal to the adult form, the human LV undergoes an anatomical transformation that finally results in the most complex of the four cardiac chambers. In its adult form, the human LV consists of two muscular helixes that surround the midventricular circumferential layer of muscle fibers. Contraction of these endocardial and epicardial helixes results in a twisting motion that is thought to minimize the transmural stress of the LV muscle. In the healthy myocardium, the LV twist response to stimuli that alter preload, afterload, or contractility has been described and is deemed relatively consistent and predictable. Conversely, the LV twist response in patient populations appears to be a little more variable and less predictable, yet it has revealed important insight into the effect of cardiovascular disease on LV mechanical function. This review discusses important methodological aspects of assessing LV twist and evaluates the LV twist responses to the main physiological and pathophysiological states. It is concluded that correct assessment of LV twist mechanics holds significant potential to advance our understanding of LV function in human health and cardiovascular disease.
Journal/conference proceeding
American Journal of Physiology - Heart and Circulatory Physiology;
Citation
Stöhr, E.J., Shave, R.E., Baggish, A.L. and Weiner, R.B. (2016) 'Left ventricular twist mechanics in the context of normal physiology and cardiovascular disease: a review of studies using speckle tracking echocardiography', American Journal of Physiology-Heart and Circulatory Physiology, 311(3), pp.H633-H644.
URI
http://hdl.handle.net/10369/9408
DOI
https://doi.org/10.1152/ajpheart.00104.2016
Description
Article published in American Journal of Physiology - Heart and Circulatory Physiology available at https://doi.org/10.1152/ajpheart.00104.2016
Rights
http://www.rioxx.net/licenses/all-rights-reserved
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