[FEATURES ROTATIONAL MOTION OF LEFT VENTRICULAR WALLS IN PATIENTS WITH AORTAL STENOSIS]

The features of the rotational movement of the left ventricle (LV) walls in patients with aortal stenosis (AS) were studied. In normal and AS rotation basal and apical parts of the LV walls occurs in mutually antithetical ways: basal rotate clockwise, apical-counterclockwise. Increased systolic pressure gradient with AS to (103.5 +/- 21.3) mm Hg accompanied by a compensatory increase in the LV myocardium before curling (33.1 +/- 5.1). Increased performance twisting LV myocardium at AS is due to the increase of rotation as the basal and apical parts of its walls. Thus, an increase in the twisting AS provides overcoming severe obstruction of the affected aortic valve, and is a compensatory factor in maintaining normal cardiac output for a long time.