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Heart Disease and Left Ventricular Rotation – A Systematic Review and Quantitative Summary

BACKGROUND: Left ventricular (LV) rotation is increasingly examined in those with heart disease. The available evidence measuring LV rotation in those with heart diseases has not been systematically reviewed. METHODS: To review systematically the evidence measuring LV rotational changes in various h...

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Autores principales: Phillips, Aaron A, Cote, Anita T, Bredin, Shannon SD, Warburton, Darren ER
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3423007/
https://www.ncbi.nlm.nih.gov/pubmed/22726250
http://dx.doi.org/10.1186/1471-2261-12-46
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author Phillips, Aaron A
Cote, Anita T
Bredin, Shannon SD
Warburton, Darren ER
author_facet Phillips, Aaron A
Cote, Anita T
Bredin, Shannon SD
Warburton, Darren ER
author_sort Phillips, Aaron A
collection PubMed
description BACKGROUND: Left ventricular (LV) rotation is increasingly examined in those with heart disease. The available evidence measuring LV rotation in those with heart diseases has not been systematically reviewed. METHODS: To review systematically the evidence measuring LV rotational changes in various heart diseases compared to healthy controls, literature searches were conducted for appropriate articles using several electronic databases (e.g., MEDLINE, EMBASE). All randomized-controlled trials, prospective cohort and case–controlled studies that assessed LV rotation in relation to various heart conditions were included. Three independent reviewers evaluated each investigation’s quality using validated scales. Results were tabulated and levels of evidence assigned. RESULTS: A total of 1,782 studies were found through the systematic literature search. Upon review of the articles, 47 were included. The articles were separated into those investigating changes in LV rotation in participants with: aortic stenosis, myocardial infarction, hypertrophic cardiomyopathy, dilated cardiomyopathy, non-compaction, restrictive cardiomyopathy/ constrictive pericarditis, heart failure, diastolic dysfunction, heart transplant, implanted pacemaker, coronary artery disease and cardiovascular disease risk factors. Evidence showing changes in LV rotation due to various types of heart disease was supported by evidence with limited to moderate methodological quality. CONCLUSIONS: Despite a relatively low quality and volume of evidence, the literature consistently shows that heart disease leads to marked changes in LV rotation, while rotational systolic-diastolic coupling is preserved. No prognostic information exists on the potential value of rotational measures of LV function. The literature suggests that measures of LV rotation may aid in diagnosing subclinical aortic stenosis and diastolic dysfunction.
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spelling pubmed-34230072012-08-21 Heart Disease and Left Ventricular Rotation – A Systematic Review and Quantitative Summary Phillips, Aaron A Cote, Anita T Bredin, Shannon SD Warburton, Darren ER BMC Cardiovasc Disord Research Article BACKGROUND: Left ventricular (LV) rotation is increasingly examined in those with heart disease. The available evidence measuring LV rotation in those with heart diseases has not been systematically reviewed. METHODS: To review systematically the evidence measuring LV rotational changes in various heart diseases compared to healthy controls, literature searches were conducted for appropriate articles using several electronic databases (e.g., MEDLINE, EMBASE). All randomized-controlled trials, prospective cohort and case–controlled studies that assessed LV rotation in relation to various heart conditions were included. Three independent reviewers evaluated each investigation’s quality using validated scales. Results were tabulated and levels of evidence assigned. RESULTS: A total of 1,782 studies were found through the systematic literature search. Upon review of the articles, 47 were included. The articles were separated into those investigating changes in LV rotation in participants with: aortic stenosis, myocardial infarction, hypertrophic cardiomyopathy, dilated cardiomyopathy, non-compaction, restrictive cardiomyopathy/ constrictive pericarditis, heart failure, diastolic dysfunction, heart transplant, implanted pacemaker, coronary artery disease and cardiovascular disease risk factors. Evidence showing changes in LV rotation due to various types of heart disease was supported by evidence with limited to moderate methodological quality. CONCLUSIONS: Despite a relatively low quality and volume of evidence, the literature consistently shows that heart disease leads to marked changes in LV rotation, while rotational systolic-diastolic coupling is preserved. No prognostic information exists on the potential value of rotational measures of LV function. The literature suggests that measures of LV rotation may aid in diagnosing subclinical aortic stenosis and diastolic dysfunction. BioMed Central 2012-06-24 /pmc/articles/PMC3423007/ /pubmed/22726250 http://dx.doi.org/10.1186/1471-2261-12-46 Text en Copyright ©2012 Phillips et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Phillips, Aaron A
Cote, Anita T
Bredin, Shannon SD
Warburton, Darren ER
Heart Disease and Left Ventricular Rotation – A Systematic Review and Quantitative Summary
title Heart Disease and Left Ventricular Rotation – A Systematic Review and Quantitative Summary
title_full Heart Disease and Left Ventricular Rotation – A Systematic Review and Quantitative Summary
title_fullStr Heart Disease and Left Ventricular Rotation – A Systematic Review and Quantitative Summary
title_full_unstemmed Heart Disease and Left Ventricular Rotation – A Systematic Review and Quantitative Summary
title_short Heart Disease and Left Ventricular Rotation – A Systematic Review and Quantitative Summary
title_sort heart disease and left ventricular rotation – a systematic review and quantitative summary
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3423007/
https://www.ncbi.nlm.nih.gov/pubmed/22726250
http://dx.doi.org/10.1186/1471-2261-12-46
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