The effect of acute myocardial ischemia on the rotation axis of the left ventricle

Introduction: We have developed a method to assess the axis around which the left ventricle (LV) rotates. The aim was to assess the effect of acute regional ischemia on the otation axis. Method: Mid‐LAD occlusion was induced in six anesthetised pigs and echocardiographic images were recorded at baseline and after LAD occlusion. The rotation axis was calculated at three different levels of the LV throughout the cardiac cycle. Results: The direction of the rotation axis was significantly changed (p<0.01) after LAD occlusion, being directed towards the ischemic area. AV‐plane displacement was significantly reduced (p<0.05) during ischemia. No significant difference in twist or otation amplitudes was found. Conclusion: This new method of assessing rotational function seems as sensitive as AV‐plane displacement and superior to traditional rotation and twist parameters in detecting dysfunction in acute ischemic myocardium. The rotation axis method has the advantage of potentially identifying areas with dysfunction.

Larsson, MSchool of Technology and Health, Royal Institute of Technology, Stockholm, Sweden (author)
Bjällmark, ASchool of Technology and Health, Royal Institute of Technology, Stockholm, Sweden (author)
Lindqvist, PerUmeå universitet,Medicin(Swepub:umu)peli0011 (author)
Aroch, RomanUmeå universitet,Anestesiologi och intensivvård(Swepub:umu)roaa0001 (author)
Haney, MichaelUmeå universitet,Anestesiologi och intensivvård(Swepub:umu)milhay96 (author)
Waldenström, AndersUmeå universitet,Medicin(Swepub:umu)anwa0002 (author)
Umeå universitetMedicin (creator_code:org_t)

By the author/editor: Gustafsson, Ulf, ...; Larsson, M; Bjällmark, A; Lindqvist, Per; Aroch, Roman; Haney, Michael; show more...; Waldenström, And ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

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