IMR Press / RCM / Volume 23 / Issue 1 / DOI: 10.31083/j.rcm2301005
Open Access Review
Prevalence of left ventricular ‘rigid body rotation’, the near absence of left ventricular twist (insights from the MAGYAR studies)
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1 Department of Medicine, Medical Faculty, Albert Szent-Györgyi Clinical Center, University of Szeged, 6725 Szeged, Hungary
*Correspondence: nemes@in2nd.szote.u-szeged.hu (Attila Nemes)
Academic Editor: Tasneem Z. Naqvi
Rev. Cardiovasc. Med. 2022, 23(1), 5; https://doi.org/10.31083/j.rcm2301005
Submitted: 15 September 2021 | Revised: 15 November 2021 | Accepted: 24 November 2021 | Published: 8 January 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Left ventricular (LV) twist is defined as the wringing motion of the LV around its long-axis during systole generated by rotation of the LV apex in a counterclockwise direction, as viewed from the apex, while the LV base moves in a clockwise direction. In several cases, the LV apex and base move in the same direction during ejection demonstrating a special condition called as LV ‘rigid body rotation’. The present review aimed to summarize our knowledge about this rare but not fully understood entity demonstrating its theoretic pathophysiologic background, clinical significance, associated diseases, and reversibility based on available literature.

Keywords
Echocardiography
Left ventricular
Rotation
Twist
Speckle-tracking
Two-dimensional
Three-dimensional
Figures
Fig. 1.
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