Mechanism of Increased Left Ventricular Torsion and Untwisting in Patients With Abnormal Relaxation Filling Pattern: Chicken or Egg?

2009 ◽  
Vol 22 (3) ◽  
pp. 321-322 ◽  
Author(s):  
Sung-Ji Park ◽  
Steve R. Ommen ◽  
Jae K. Oh
Keyword(s):  
Left Ventricular ◽  
Left Ventricular Torsion ◽  
Filling Pattern ◽  
Ventricular Torsion

The Improvement of Torsion Assessed by Cardiovascular Magnetic Resonance Feature Tracking after Coronary Artery Bypass Grafting: A Sensitive Index of Cardiac Function

2017 ◽  
Vol 20 (1) ◽  
pp. 026 ◽  
Author(s):  
Nan Cheng ◽  
Liuquan Cheng ◽  
Rong Wang ◽  
Lin Zhang ◽  
Changqing Gao
Keyword(s):  
Cardiovascular Magnetic Resonance ◽  
Magnetic Resonance ◽  
Ejection Fraction ◽  
Cardiac Function ◽  
Feature Tracking ◽  
Artery Bypass ◽  
Left Ventricular ◽  
Rapid Acquisition ◽  
Left Ventricular Torsion ◽  
Ventricular Torsion

Objective: The aim of this study was to quantify left ventricular torsion by newly applied cardiovascular magnetic resonance feature tracking (CMR-FT), and to evaluate the clinical value of the ventricular torsion as a sensitive indicator of cardiac function by comparison of preoperative and postoperative torsion.Methods: A total of 54 volunteers and 36 patients with previous myocardial infarction (MI) and LV ejection fraction (EF) between 30%-50% were screened preoperatively or postoperatively by MRI. The patients’ short axis views of the whole heart were acquired, and all patients had a scar area >75% in at least one of the anterior or inferior segments. Their apical and basal rotation values were analyzed by feature tracking, and the correlation analysis was performed for the improvement of LV torsion and ejection fraction after CABG. The intra- and inter-observer reliabilities of torsion measured by CMR-FT were assessed.Results: In normal hearts, the apex rotated counterclockwise in the systolic period with the peak rotation as 10.2 ± 4.8°, and the base rotated clockwise as the peak value was 7.0 ± 3.3°. There was a timing hiatus between the apex and base untwisting, during which period the heart recoils and its suction sets the stage for the following rapid filling period. The postoperative torsion and rotation significantly improved compared with preoperative ones. However, the traditional indicator of cardiac function, ejection fraction, didn’t show significant improvement.Conclusion: Left ventricular torsion derived from CMR-FT, which does not require specialized CMR sequences, was sensitive to patients with low ejection fraction whose cardiac function significantly improved after CABG. The rapid acquisition of this measurement has potential for the assessment of cardiac function in clinical practice. 

Abstract 964: Effect of Volume Overload on Left Ventricular Torsion and Extra Cellular Matrix

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Hosakote M Nagaraj ◽  
Thomas S Denney ◽  
Steven G Lloyd ◽  
David Calhoun ◽  
Inmaculada Aban ◽  
...  
Keyword(s):  
Picric Acid ◽  
Three Dimensional ◽  
Volume Overload ◽  
Left Ventricular ◽  
Deformation Model ◽  
Data Set ◽  
Left Ventricular Torsion ◽  
Tissue Tagging ◽  
Ventricular Torsion ◽  
Longitudinal Strains

Background: Muscle fibers are arranged in a spiral network and are connected by extracellular matrix (ECM). LV torsion is increased in the pressure overloaded heart where there is an increase in ECM. However, torsion and its relation to ECM have not been systematically studied in the volume overloaded heart. Hypothesis: The volume overloaded heart has a decrease in LV torsion due a loss of ECM. Methods: Primary mitral regurgitation (MR) (n=29), resistant hypertension (HTN) (n=77) and normal volunteers (NL) (n±37) were studied. Comprehensive cardiac magnetic resonance imaging (MRI) with tissue tagging was performed and analyzed using three-dimensional data set. Torsion was computed by fitting a B-spline deformation model in prolate-spheroidal coordinates to the tag line data. A subset of MR subjects had LV collagen assessed by picric acid Sirius red from biopsy samples taken at the time of surgery. Results: LV ejection fraction was 65% in MR and 70% in HTN. MR demonstrated eccentric remodeling and HTN demonstrated concentric remodeling. HTN had significantly higher torsion angle and systolic twist compared to NL and MR. This was associated with a simultaneous decrease in longitudinal strain. In contrast, MR patients had similar torsion indices, circumferential and longitudinal strains compared to NL. LV biopsy in MR demonstrated a decrease in interstitial collagen compared to NL. Conclusions: As opposed to the pure volume overloaded heart, LV torsional forces are increased in the pressure overloaded heart. This difference may be related to a rearrangement of the laminar structure due to a differential effect on ECM in the volume overloaded versus the pressure overloaded heart.

scholarly journals Decreased Left Ventricular Torsion and Untwisting in Children with Dilated Cardiomyopathy

2007 ◽  
Vol 22 (4) ◽  
pp. 633 ◽  
Author(s):  
Seon Mi Jin ◽  
Chung Il Noh ◽  
Eun Jung Bae ◽  
Jung Yun Choi ◽  
Yong Soo Yun
Keyword(s):  
Dilated Cardiomyopathy ◽  
Left Ventricular ◽  
Left Ventricular Torsion ◽  
Ventricular Torsion

scholarly journals Three-Dimensional Left Ventricular Torsion in Patients With Dilated Cardiomyopathy　― A Marker of Disease Severity ―

2017 ◽  
Vol 81 (4) ◽  
pp. 529-536 ◽  
Author(s):  
Krunoslav Michael Sveric ◽  
Stefan Ulbrich ◽  
Mohamed Rady ◽  
Tobias Ruf ◽  
Heda Kvakan ◽  
...  
Keyword(s):  
Dilated Cardiomyopathy ◽  
Disease Severity ◽  
Three Dimensional ◽  
Left Ventricular ◽  
Left Ventricular Torsion ◽  
Ventricular Torsion

scholarly journals Left ventricular torsion: feeling the heat

2011 ◽  
Vol 96 (2) ◽  
pp. 71-72
Author(s):  
Rory B. Weiner ◽  
Aaron L. Baggish
Keyword(s):  
Left Ventricular ◽  
Left Ventricular Torsion ◽  
Ventricular Torsion

scholarly journals Left Ventricular Torsion in Hypertension and Hypertensive Heart Failure　― 3-Dimensional Speckle Tracking Echocardiography Assessment ―

2019 ◽  
Vol 1 (2) ◽  
pp. 78-86 ◽  
Author(s):  
Shingo Minatoguchi ◽  
Takashi Yoshizane ◽  
Ryuhei Tanaka ◽  
Makoto Iwama ◽  
Takatomo Watanabe ◽  
...  
Keyword(s):  
Heart Failure ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular ◽  
3 Dimensional ◽  
Left Ventricular Torsion ◽  
Ventricular Torsion
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