Journal of the American Society of Echocardiography
Volume 23, Issue 3 , Pages 286-293 , March 2010

Normal Rotational, Torsion and Untwisting Data in Children, Adolescents and Young Adults

  • Ken Takahashi, MD

      Affiliations

    • Department of Pediatrics, Division of Pediatric Cardiology, University of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada
  • ,
  • Ghassan Al Naami, MD

      Affiliations

    • Department of Pediatrics, Division of Pediatric Cardiology, University of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada
  • ,
  • Richard Thompson, PhD

      Affiliations

    • Department of Biomedical Engineering, University of Alberta and Stollery Children's Hospital, Edmonton, AB, Canada
  • ,
  • Akio Inage, MD

      Affiliations

    • Department of Pediatrics, Division of Pediatric Cardiology, University of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada
  • ,
  • Andrew S. Mackie, MD

      Affiliations

    • Department of Pediatrics, Division of Pediatric Cardiology, University of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada
  • ,
  • Jeffrey F. Smallhorn, MBBS

      Affiliations

    • Department of Pediatrics, Division of Pediatric Cardiology, University of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada
    • Corresponding Author InformationReprint requests: Jeffrey F. Smallhorn, MBBS, University of Alberta Hospital, Room 4C2, Walter C. Mackenzie Health Sciences Centre, Edmonton, Alberta T6G 2B7, Canada.

References 

  1. Streeter DD, Spotnitz HM, Patel DP, Ross J, Sonnenblick EH. Fiber orientation in the canine left ventricle during diastole and systole. Circ Res. 1969;26:339–347
  2. Gibbons CA, Tyberg JV, Beyar R. Effect of load manipulations, heart rate, and contractility on left ventricular apical rotation. Circulation. 1995;92:130–141
  3. Hansen DE, Daughter GT. Aldeman EL Ingels NB, Stinson EB, Miller DC. Effect of volume loading, pressure loading, and inotropic stimulation and volume loading in human subjects. Circulation. 1991;83:1315–1326
  4. Stuber M, Scheidegger MB, Fischer SE, Nagel E, Steinemann F, Hess OM, et al. Alterations in the local myocardial motion pattern in patients suffering from pressure overloading due to aortic stenosis. Circulation. 1999;100:361–368
  5. Moon MR, Ingesl NB, Daughters GT, Stinson EB, Hansen DE, Miller DC. Alterations in left ventricular twist mechanics with inotropic stimulation and volume loading in human subjects. Circulation. 1994;89:142–150
  6. Park SJ, Miyazaki C, Bruce CJ, Ommen S, Miller FA, Oh JK. Left ventricular torsion by two-dimensional speckle tracking echocardiography in patients with diastolic dysfunction and normal ejection fraction. J Am Soc Echocardiogr. 2008;21:1129–1137
  7. Takeuchi M, Borden WB, Nakai H, Nishikage T, Kokumai M, Nagakura T, et al. Reduced and delayed untwisting of the left ventricle in patients with hypertension and left ventricular hypertrophy: a study using two-dimensional speckle tracking imaging. Eur Heart J. 2007;28:2756–2762
  8. van Dalen BM, Kauer F, Soliman OII, Vletter WB, Michels M, ten Cate FJ, et al. Influence of the pattern of hypertrophy on left ventricular twist in hypertrophic cardiomyopathy. Heart. 2009;95:657–661
  9. Saito M, Okayama H, Nisimura K, Ogimoto A, Ohtsuka T, Inoue K, et al. Determinants of left ventricular untwisting behaviour in patients with dilated cardiomyopathy: analysis by two-dimensional speckle tracking. Heart. 2009;95:290–296
  10. Tan YT, Wenzelburger F, Lee E, Heatlie G, Levva F, Patel K, et al. The pathopysiology of heart failure with normal ejection fraction. J Am Coll Cardiol. 2009;54:36–46
  11. Lumens J, Delhaas T, Arts T, Cowan BR, Young AA. Impaired subendocardial contractile myofiber function in asymptomatic humans, as detected using MRI. Am J Physiol Heart Circ Physiol. 2006;291:1573–1579
  12. Nakai H, Takeuchi M, Nishikage T, Kakumai M, Otani S, Lang RM. Effect of aging on twist displacement loop by 2-dimensional speckle tracking imaging. J Am Soc Echocardiogr. 2006;19:880–885
  13. Notomi Y, Lysyansky P, Setser RM, Shiota T, Popovic ZB, Martn-Miklovic MG, et al. Measurement of ventricular torsion by two-dimensional ultrasound speckle tracking imaging. J Am Coll Cardiol. 2005;45:2034–2041
  14. Takeuchi M, Nakai H, Kokumai M, Nishikage T, Otani S, Lang RM. Age related changes in left ventricular twist assessed by two dimensional speckle tracking imaging. J Am Soc Echocardiogr. 2006;19:1077–1084
  15. van Dalen BM, Soliman OI, Vletter WB, ten Cate FJ, Geleijnse ML. Age related changes in the biomechanics of left ventricular twist measured by speckle tracking echocardiography. Am J Physiol Heart Circ Physiol. 2008;295:H1705–H1711
  16. Notomi Y, Srinath G, Shiota T, Martin-Miklovic MG, Beachler L, Howell K, et al. Maturational and adaptive modulation of left ventricular torsional biomechanics. Doppler tissue imaging observation from infancy to adulthood. Circulation. 2006;113:2534–2541
  17. Chen J, Liu W, Zhang H, Lacy L, Yang X, Song SK, et al. Regional ventricular wall thickening reflects changes in cardiac fiber and sheet structure during contracting quantification with diffusion tensor MRI. Am J Physiol Heart Circ Physiol. 2005;289:1898–1907
  18. Vendelin M, Bovendeerd PH, Engelbrecht J. Optimizing ventricular fibers: uniform strain or stress, but not ATP consumption leads to high efficiency. Am J Physiol Heart Circ Physiol. 2002;283:1072–1081
  19. Durrer D, Van Dam R, Freud GE, Janse MJ, Meijler FL, Arzbaecher RC. Total excitation of the isolated human heart. Circulation. 1970;41:899–912
  20. Ingels N. Myocardial fiber architecture and left ventricular function. Technol Health Care. 1997;5:45–52
  21. Ingels NB, Hansen DE, Daughters GT, Stinson EB, Miller DC. Relation between longitudinal, circumferential, and oblique shortening and torsional deformation in the left ventricle of the transplanted human heart. Circ Res. 1989;64:915–927
  22. Taber LA, Yang M, Podszus WW. Mechanics of ventricular torsion. J Biomech. 1966;29:745–752
  23. Henson RE, Song SK, Pastorek JS, Ackermann JJ, Lorenz CH. Left ventricular torsion is equal in mice and humans. Am J Physiol Heart Circ Physiol. 2000;278:1117–1123
  24. Lorch SM, Ludomirsky A, Singh GK. Maturational growth-related changes in left ventricular longitudinal strain and strain rate measured by two-dimensional speckle tracking echocardiography in a healthy pediatric population. J Am Soc Echocardiogr. 2008;21:1207–1215
  25. Sengupta PP, Khandheria BK, Korinek J, Wang J, Jahangir A, Seward JB, et al. Apex-to-base dispersion in regional timing of left ventricular shortening and lengthening. J Am Coll Cardiol. 2006;47:163–172
  26. Voigt J, Lindenmeier G, Exner B, Regenfus M, Wenner D, Reulbach U, et al. Incidence and characteristics of segmental postsystolic longitudinal shortening in normal, acutely ischemic, and scarred myocardium. J Am Soc Echocardiogr. 2003;16:415–423
  27. Villari B, Vassalli G, Schneider J, Chiarriello M, Hess OM. Age dependency of left ventricular diastolic function in pressure overload hypertrophy. J Am Coll Cardiol. 1997;29:181–186
  28. Wu Y, Bell SP, Trombitas K, Witt C, Labeit S, Bell S, et al. Changes in titin isoform expression in pacing-induced cardiac failure give rise to increased passive muscle stiffness. Circulation. 2002;106:1384–1389
  29. Lahmers S, Wu Y, Call DR, Labeit S, Granzier H. Development control of titin isoform expression and passive stiffness in fetal and neonatal myocardium. Circ Res. 2004;94:505–513
  30. Gilbert JC, Glantz SA. Determinants of left ventricular filling and of the diastolic pressure-volume relation. Circ Res. 1989;64:827–852
  31. Rademakers FE, Buchalter MB, Rogers WJ, Zerhouni EA, Weisfeldt ML, Weiss JL, et al. Dissociation between left ventricular untwisting and filling. Accentuation by catecholamines. Circulation. 1992;85:1572–1581
  32. Dong SJ, Hees PS, Siu CO, Weiss JL, Shapiro EP. MRI assessment of LV relaxation by untwisting rate: a new isovolumic phase measure of tau. Am J Physiol Heart Circ Phisiol. 2001;281:2002–2009
  33. Wang J, Khoury DS, Yue Y, Torre-Amione G, Nagueh SF. Left ventricular untwisting rate by speckle tracking echocardiography. Circulation. 2007;116:2580–2586
  34. Wang J, Khoury DS, Kurrelmeyer K, Torre-Amione G. Nagueh. Assessment of left ventricular relaxation by untwisting rate based on different algorithms. J Am Soc Echocardiogr. 2009;22:1040–1046
  35. Bukhamsri A, Popovic ZB, Lin J, Lim P, Greenberg NL, Borowski AG, et al. Impact of left ventricular volume/mass ratio on diastolic function. Eur Heart J. 2009;10:1213–1221
  36. Petterson E, Fredriksen PM, Urheim S, Thaulow E, Smith HJ, Smevik B, et al. Ventricular function in patients with transposition of the great arteries operated with arterial switch. Am J Cardiol. 2009;104:583–589
  37. Laser KT, Haas NA, Jansen N, Schäffler R, Argueta JRP, Zittermann A, et al. Is torsion a suitable echocardiographic parameter to detect acute changes in left ventricular afterload in children. J Am Soc Echocardiogr. 2009;22:1121–1128

PII: S0894-7317(09)01100-6

doi: 10.1016/j.echo.2009.11.018

Journal of the American Society of Echocardiography
Volume 23, Issue 3 , Pages 286-293 , March 2010