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Published on: December 22, 2023
[Left ventricular rotation and twist of the heart. Clarification of some concepts]
Attila Nemes1, Anita Kalapos, Péter Domsik
1Szegedi Tudományegyetem, Szent-Györgyi Albert Klinikai Központ, Általános Orvostudományi Kar, II. Belgyógyászati Klinika és Kardiológiai Központ, Szeged, Korányi fasor 6. 6720. nemes.attila@med.u-szeged.hu
Insights
The healthy heart
Area of Science:
- Cardiovascular physiology
- Cardiac mechanics
- Biomedical imaging
Context:
- The left ventricle exhibits complex rotational dynamics during the cardiac cycle.
- Basal clockwise and apical counter-clockwise rotation contribute to ventricular twisting.
- Understanding these motions is crucial for assessing cardiac function.
Purpose:
- To review current knowledge on left ventricular rotation and twist.
- To discuss methodologies for evaluating these cardiac mechanics.
- To provide a comprehensive overview for researchers and clinicians.
Summary:
- Left ventricular twisting involves counter-clockwise rotation of the apex and clockwise rotation of the base during systole.
- This review synthesizes findings on the physiological significance of left ventricular rotation and twist.
- Methodological approaches for assessing these dynamic cardiac parameters are examined.
Impact:
- Enhanced understanding of normal and abnormal cardiac mechanics.
- Improved diagnostic capabilities through advanced imaging techniques.
- Foundation for future research into heart disease and therapeutic interventions.
Abstract:
In case of a healthy heart basal part of the left ventricle rotates clockwise in systole, while the apex rotates counter-clockwise. This sort of squeezing-turning motion is called "twisting" of the heart. The aim of the current review is to summarize knowledge regarding left ventricular rotation and twist as well as methodological aspects of their evaluation.
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