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Cited by 197 publications
(161 citation statements)
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“…During ejection, myofibers shorten across the entire transmural wall of the LV. However, the direction of rotation is governed by the subepicardial fibers owing to their longer arm of movement (50) and their intrinsic contractile properties (51). Shortening of subepicardial fibers results in counterclockwise rotation of the LV apex and clockwise rotation of the LV base.…”
Section: Sequence Of the LV Rotationmentioning
confidence: 99%
“…During ejection, myofibers shorten across the entire transmural wall of the LV. However, the direction of rotation is governed by the subepicardial fibers owing to their longer arm of movement (50) and their intrinsic contractile properties (51). Shortening of subepicardial fibers results in counterclockwise rotation of the LV apex and clockwise rotation of the LV base.…”
Section: Sequence Of the LV Rotationmentioning
confidence: 99%
“…Two-dimensional speckle tracking echocardiography (2D STE) is a valuable tool to evaluate global and regional LV function and appears to be more precise and distinctive than traditional echocardiography for detecting subtle myocardial abnormalities [4][5][6]. Apical and basal LV rotation have been described as an important part of LV twist, which plays a key role in maintaining both systolic and diastolic function [5][6][7][8]. LV untwisting parameters have been used to quantify LV diastolic function by 2D STE [5,8].…”
Section: Introductionmentioning
confidence: 99%
“…It has been long known that left ventricular (LV) myocardial microstructure or fiber structure plays a critical role in determining mechanical properties, such as ventricular torsion, strain, and stress (3,4). Owing to the recent advances in cardiac MR and ultrasound imaging, there is an increasing interest in investigating LV by directly associating the LV myocardial fiber geometry to the complex spatial-temporal sequence of electrical activation and mechanical contraction/relaxation in beating hearts (1,2,5).…”
mentioning
confidence: 99%