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European Heart Journal Advance Access published online on April 23, 2008
European Heart Journal, doi:10.1093/eurheartj/ehn173
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

About left ventricular torsion, sex differences, shear strain, and diastolic heart failure

Thierry C. Gillebert* and Nico R. Van de Veire

Heart Center, Faculty of Medicine and Health Sciences, University of Ghent, De Pintelaan, 185, 9000 Ghent, Belgium

* Corresponding author. Tel: +32 9 240 3481, Fax: +32 9 240 4432, Email: thierry.gillebert@ugent.be

This editorial refers to ‘Preserved left ventricular twist and circumferential deformation, but depressed longitudinal and radial deformation in patients with diastolic heart failure’{dagger} by J. Wang et al., on page 1283

The first 150 words of the full text of this article appear below.

‘An attempt at visualizing the Fourth Dimension: Take a point, stretch into a line, curl it into a circle, twist it into a sphere, and punch through the sphere’. Albert Einstein

Wang et al.1 provide novel pathophysiological information on patients with diastolic heart failure, by exploring the fourth dimension of cardiac function: left ventricular (LV) twist. The complex active and passive physiological events occurring during the heart cycle are related to the complex structure of the heart, which is a helix that contains an apex. Lower (17th century) described the cardiac helix form as having an apical vortex, in which the muscle fibres go from outside in, in a clockwise way, and from inside out, in a counter-clockwise direction.2 Nature contains many pathways of clockwise and counter-clockwise spirals (reciprocal spirals), e.g. the flower buds of a daisy, the sea shell, and even human fingertips. Dr Torrent-Guasp compared the structure of . . . [Full Text of this Article]


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Related articles in EHJ:

Preserved left ventricular twist and circumferential deformation, but depressed longitudinal and radial deformation in patients with diastolic heart failure
Jianwen Wang, Dirar S. Khoury, Yong Yue, Guillermo Torre-Amione, and Sherif F. Nagueh
EHJ 2008 29: 1283-1289. [Abstract] [Full Text]