| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2004;25:376-386
© 2004 Elsevier Science NL
Review |
a Denia, Alicante, Spain
b Clinic for Cardiac Surgery, Institute for Cardiovascular Diseases, UC Clinical Centre of Serbia, 8th Kosta Todorovic St., 11000 Belgrade, Serbia and Montenegro
c Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
d Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan
e Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, MO, USA
f Department of Nuclear Medicine, Hospital Sant Pau, Barcelona, Spain
g Department of Cardiology, University of Lleida, Lleida, Spain
h Department of Cardiology, Cardiac Imaging Unit, Hospital Sant Pau, Barcelona, Spain
Received 21 October 2003; received in revised form 8 December 2003; accepted 15 December 2003.
* Corresponding author. Tel.: +381-11-3670-609; fax: +381-11-3610-880
e-mail: kocica{at}sezampro.yu
The evidence of the ventricular myocardial band (VMB) has revealed unavoidable coherence and mutual coupling of form and function in the ventricular myocardium, making it possible to understand the principles governing electrical, mechanical and energetical events within the human heart.
From the earliest Erasistratus' observations, principal mechanisms responsible for the ventricular filling have still remained obscured. Contemporary experimental and clinical investigations unequivocally support the attitude that only powerful suction force, developed by the normal ventricles, would be able to produce an efficient filling of the ventricular cavities. The true origin and the precise time frame for generating such force are still controversial.
Elastic recoil and muscular contraction were the most commonly mentioned, but yet, still not clearly explained mechanisms involved in the ventricular suction. Classical concepts about timing of successive mechanical events during the cardiac cycle, also do not offer understandable insight into the mechanism of the ventricular filling. The net result is the current state of insufficient knowledge of systolic and particularly diastolic function of normal and diseased heart.
Here we summarize experimental evidence and theoretical backgrounds, which could be useful in understanding the phenomenon of the ventricular filling. Anatomy of the VMB, and recent proofs for its segmental electrical and mechanical activation, undoubtedly indicates that ventricular filling is the consequence of an active muscular contraction. Contraction of the ascendent segment of the VMB, with simultaneous shortening and rectifying of its fibers, produces the paradoxical increase of the ventricular volume and lengthening of its long axis. Specific spatial arrangement of the ascendent segment fibers, their interaction with adjacent descendent segment fibers, elastic elements and intra-cavitary blood volume (hemoskeleton), explain the physical principles involved in this action. This contraction occurs during the last part of classical systole and the first part of diastole. Therefore, the most important part of ventricular diastole (i.e. the rapid filling phase), in which it receives >70% of the stroke volume, belongs to the active muscular contraction of the ascendent segment.
We hope that these facts will give rise to new understanding of the principal mechanisms involved in normal and abnormal diastolic heart function.
Key Words: Ventricle • Myocardium • Anatomy • Physiology • Myocardial mechanics
This article has been cited by other articles:
|
|
 |
|
  Y. Kusakari, C.-Y. Xiao, N. Himes, S. D. Kinsella, M. Takahashi, A. Rosenzweig, and T. Matsui Myocyte injury along myofibers in left ventricular remodeling after myocardial infarction Interactive CardioVascular and Thoracic Surgery, December 1, 2009; 9(6): 951 - 955. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Nasiraei-Moghaddam and M. Gharib Evidence for the existence of a functional helical myocardial band Am J Physiol Heart Circ Physiol, January 1, 2009; 296(1): H127 - H131. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Buckberg, J. I.E. Hoffman, A. Mahajan, S. Saleh, and C. Coghlan Cardiac Mechanics Revisited: The Relationship of Cardiac Architecture to Ventricular Function Circulation, December 9, 2008; 118(24): 2571 - 2587. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Pavlopoulos, J. Grapsa, E. Stefanadi, E. Philippou, D. Dawson, and P. Nihoyannopoulos Is it only diastolic dysfunction? Segmental relaxation patterns and longitudinal systolic deformation in systemic hypertension Eur J Echocardiogr, November 1, 2008; 9(6): 741 - 747. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Q Zhang, J W-H Fung, G W K Yip, J Y-S Chan, A P-W Lee, Y-Y Lam, L-W Wu, E B Wu, and C-M Yu Improvement of left ventricular myocardial short-axis, but not long-axis function or torsion after cardiac resynchronisation therapy: an assessment by two-dimensional speckle tracking Heart, November 1, 2008; 94(11): 1464 - 1471. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. E. Stelzer, H. S. Norman, P. P. Chen, J. R. Patel, and R. L. Moss Transmural variation in myosin heavy chain isoform expression modulates the timing of myocardial force generation in porcine left ventricle J. Physiol., November 1, 2008; 586(21): 5203 - 5214. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Buckberg, A. Mahajan, S. Saleh, J. I.E. Hoffman, and C. Coghlan Structure and function relationships of the helical ventricular myocardial band J. Thorac. Cardiovasc. Surg., September 1, 2008; 136(3): 578 - 589. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. W. Feinberg, A. Feigel, S. S. Shevkoplyas, S. Sheehy, G. M. Whitesides, and K. K. Parker Muscular Thin Films for Building Actuators and Powering Devices Science, September 7, 2007; 317(5843): 1366 - 1370. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. H. Gilbert, A. P. Benson, P. Li, and A. V. Holden Regional localisation of left ventricular sheet structure: integration with current models of cardiac fibre, sheet and band structure Eur. J. Cardiothorac. Surg., August 1, 2007; 32(2): 231 - 249. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Barletta, A. Toso, R. Del Bene, M. Di Donato, M. Sabatier, and V. Dor Preoperative and Late Postoperative Mitral Regurgitation in Ventricular Reconstruction: Role of Local Left Ventricular Deformation Ann. Thorac. Surg., December 1, 2006; 82(6): 2102 - 2109. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Ashraf, X. K. Li, M. T. Young, A. J. Jensen, J. Pemberton, L. Hui, P. Lysyansky, Z. Friedman, B. Park, and D. J. Sahn Delineation of cardiac twist by a sonographically based 2-dimensional strain analysis method: an in vitro validation study. J. Ultrasound Med., September 1, 2006; 25(9): 1193 - 1198. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Coghlan and J. Hoffman Leonardo da Vinci's flights of the mind must continue: cardiac architecture and the fundamental relation of form and function revisited Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S4 - S17. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Kocica, A. F. Corno, F. Carreras-Costa, M. Ballester-Rodes, M. C. Moghbel, C. N.C. Cueva, V. Lackovic, V. I. Kanjuh, and F. Torrent-Guasp The helical ventricular myocardial band: global, three-dimensional, functional architecture of the ventricular myocardium Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S21 - S40. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. P. Lunkenheimer, K. Redmann, P. Westermann, K. Rothaus, C. W. Cryer, P. Niederer, and R. H. Anderson The myocardium and its fibrous matrix working in concert as a spatially netted mesh: a critical review of the purported tertiary structure of the ventricular mass Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S41 - S49. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Carreras, M. Ballester, S. Pujadas, R. Leta, and G. Pons-Llado Morphological and functional evidences of the helical heart from non-invasive cardiac imaging Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S50 - S55. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. F. Corno, M. J. Kocica, and F. Torrent-Guasp The helical ventricular myocardial band of Torrent-Guasp: potential implications in congenital heart defects Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S61 - S68. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Buckberg, M. Castella, M. Gharib, and S. Saleh Active myocyte shortening during the 'isovolumetric relaxation' phase of diastole is responsible for ventricular suction; 'systolic ventricular filling' Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S98 - S106. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Castella, G. D. Buckberg, and S. Saleh Diastolic dysfunction in stunned myocardium: a state of abnormal excitation-contraction coupling that is limited by Na+-H+ exchange inhibition Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S107 - S114. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Hristov, O. J. Liakopoulos, G. D. Buckberg, and G. Trummer Septal structure and function relationships parallel the left ventricular free wall ascending and descending segments of the helical heart Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S115 - S125. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ballester-Rodes, A. Flotats, F. Torrent-Guasp, I. Carrio-Gasset, M. Ballester-Alomar, F. Carreras, A. Ferreira, and J. Narula The sequence of regional ventricular motion Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S139 - S144. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Jung, M. Markl, D. Foll, and J. Hennig Investigating myocardial motion by MRI using tissue phase mapping Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S150 - S157. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. A. Jung, B. W. Kreher, M. Markl, and J. Hennig Visualization of tissue velocity data from cardiac wall motion measurements with myocardial fiber tracking: principles and implications for cardiac fiber structures Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S158 - S164. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Buckberg, A. Mahajan, B. Jung, M. Markl, J. Hennig, and M. Ballester-Rodes MRI myocardial motion and fiber tracking: a confirmation of knowledge from different imaging modalities Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S165 - S177. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. H. Anderson, S. Y. Ho, K. Redmann, D. Sanchez-Quintana, and P. P. Lunkenheimer The anatomical arrangement of the myocardial cells making up the ventricular mass Eur. J. Cardiothorac. Surg., October 1, 2005; 28(4): 517 - 525. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Buckberg Reply to Criscione et al. Nature is simple, but scientists are complicated Eur. J. Cardiothorac. Surg., August 1, 2005; 28(2): 364 - 365. [Full Text] [PDF]
|
|
|
|
|
|
F. Torrent-Guasp, M. J. Kocica, A. F. Corno, and F. Carreras-Costa Reply to Criscione et al. 'Sol Incit Omnibus' Eur. J. Cardiothorac. Surg., August 1, 2005; 28(2): 365 - 366. [Full Text] [PDF]
|
|
|
|
|
|
P. P. Lunkenheimer, K. Redmann, and R. H. Anderson Reply to Criscione et al. Eur. J. Cardiothorac. Surg., August 1, 2005; 28(2): 366 - 367. [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Notomi, P. Lysyansky, R. M. Setser, T. Shiota, Z. B. Popovic, M. G. Martin-Miklovic, J. A. Weaver, S. J. Oryszak, N. L. Greenberg, R. D. White, et al. Measurement of Ventricular Torsion by Two-Dimensional Ultrasound Speckle Tracking Imaging J. Am. Coll. Cardiol., June 21, 2005; 45(12): 2034 - 2041. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Notomi, R. M. Setser, T. Shiota, M. G. Martin-Miklovic, J. A. Weaver, Z. B. Popovic, H. Yamada, N. L. Greenberg, R. D. White, and J. D. Thomas Assessment of Left Ventricular Torsional Deformation by Doppler Tissue Imaging: Validation Study With Tagged Magnetic Resonance Imaging Circulation, March 8, 2005; 111(9): 1141 - 1147. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. K. von Segesser The myocardial band: fiction or fact? Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 181 - 182. [Full Text] [PDF]
|
|
|
|
|
|
P. P. Lunkenheimer, K. Redmann, and R. H. Anderson The architecture of the ventricular mass and its functional implications for organ-preserving surgery Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 183 - 190. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Torrent-Guasp, M. J. Kocica, A. F. Corno, M. Komeda, F. Carreras-Costa, A. Flotats, J. Cosin-Aguillar, and H. Wen Towards new understanding of the heart structure and function Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 191 - 201. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Buckberg Architecture must document functional evidence to explain the living rhythm Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 202 - 209. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. F. Corno Borderline left ventricle Eur. J. Cardiothorac. Surg., January 1, 2005; 27(1): 67 - 73. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Buckberg, M. L. Weisfeldt, M. Ballester, R. Beyar, D. Burkhoff, H. C. Coghlan, M. Doyle, N. D. Epstein, M. Gharib, R. E. Ideker, et al. Left Ventricular Form and Function: Scientific Priorities and Strategic Planning for Development of New Views of Disease Circulation, October 5, 2004; 110(14): e333 - e336. [Full Text] [PDF]
|
|
|
|
|
|
P.P. Lunkenheimer Systolic ventricular filling Eur. J. Cardiothorac. Surg., September 1, 2004; 26(3): 662 - 663. [Full Text] [PDF]
|
|
|
|
|
|
F. Torrent-Guasp, M. J. Kocica, A. Corno, and F. Carreras-Costa Reply to Lunkenheimer Eur. J. Cardiothorac. Surg., September 1, 2004; 26(3): 663 - 664. [Full Text] [PDF]
|
|
|
|
|
|
R. H. Anderson Systolic ventricular filling Eur. J. Cardiothorac. Surg., August 1, 2004; 26(2): 461 - 461. [Full Text] [PDF]
|
|
|
|
|
|
F. Torrent-Guasp, M. J. Kocica, A. F. Corno, and F. Carreras-Costa Reply to Anderson Eur. J. Cardiothorac. Surg., August 1, 2004; 26(2): 461 - 462. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
