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Updated: Aug 9, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
The helical ventricular myocardial band: global, three-dimensional, functional architecture of the ventricular
Mladen J Kocica1, Antonio F Corno, Francesc Carreras-Costa
1Clinic for Cardiac Surgery, Institute for Cardiovascular Diseases, UC Clinical Centre of Serbia, 8th Kosta Todorovic St., 11000 Belgrade, Serbia and Montenegro. kocica@sezampro.yu
Insights
The helical ventricular myocardial band concept revolutionizes understanding of heart structure and function. This integrative approach links form and forces, aiding cardiovascular research and modeling.
Area of Science:
- Cardiovascular Physiology
- Cardiac Anatomy
- Biomedical Engineering
Background:
- Current understanding of heart diseases lacks consensus on fundamental structure and function.
- International symposia have aimed to establish research principles for advancing cardiovascular science.
- The Physiome project seeks an integrative approach to biological organization.
Purpose of the Study:
- To present the Torrent-Guasp helical ventricular myocardial band concept.
- To integrate functional anatomy with cardiac form and function across biological scales.
- To provide a foundation for new understanding in cardiovascular research and modeling.
Main Methods:
- Review of Torrent-Guasp's 50-year functional anatomical investigations.
- Integration of tissue architecture (form) and net forces (function) within the ventricular myocardium.
- Exploration of the helical ventricular myocardial band's role in a multi-scale biological approach.
Main Results:
- The helical ventricular myocardial band concept offers a novel 3D functional architecture of the ventricular myocardium.
- This concept integrates form and function through cumulative vectors.
- It provides a framework for linking across multiple scales of biological organization.
Conclusions:
- The helical ventricular myocardial band concept is a revolutionary approach to understanding ventricular function.
- This integrative framework may help overcome challenges in creating comprehensive cardiac mathematical models.
- Further research integrating this concept is crucial for advancing cardiovascular science and therapy.
Abstract:
We are currently witnessing the advent of new diagnostic tools and therapies for heart diseases, but, without serious scientific consensus on fundamental questions about normal and diseased heart structure and function. During the last decade, three successive, international, multidisciplinary symposia were organized in order to setup fundamental research principles, which would allow us to make a significant step forward in understanding heart structure and function. Helical ventricular myocardial band of Torrent-Guasp is the revolutionary new concept in understanding global, three-dimensional, functional architecture of the ventricular myocardium. This concept defines the principal, cumulative vectors, integrating the tissue architecture (i.e. form) and net forces developed (i.e. function) within the ventricular mass. Here we expose the compendium of Torrent-Guasp's half-century long functional anatomical investigations in the light of ongoing efforts to define the integrative approach, which would lead to new understanding of the ventricular form and function by linking across multiple scales of biological organization, as defined in ongoing Physiome project. Helical ventricular myocardial band of Torrent-Guasp may also, hopefully, allow overcoming some difficulties encountered in contemporary efforts to create a comprehensive mathematical model of the heart.
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