Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

What Is the Heart? Anatomy, Form, Function, and Misconceptions

Version 1 : Received: 19 April 2018 / Approved: 20 April 2018 / Online: 20 April 2018 (08:10:46 CEST)

A peer-reviewed article of this Preprint also exists.

Buckberg, G.D.; Nanda, N.C.; Nguyen, C.; Kocica, M.J. What Is the Heart? Anatomy, Function, Pathophysiology, and Misconceptions. J. Cardiovasc. Dev. Dis. 2018, 5, 33. Buckberg, G.D.; Nanda, N.C.; Nguyen, C.; Kocica, M.J. What Is the Heart? Anatomy, Function, Pathophysiology, and Misconceptions. J. Cardiovasc. Dev. Dis. 2018, 5, 33.

Abstract

Cardiac dynamics are traditionally linked to a left ventricle, right ventricle and septum morphology, a topography that differs from the heart’s 5-century-old anatomic description of containing a helix and circumferential wrap architectural configuration. Torrent Guasp’s helical ventricular myocardial band (HVMB) defines this anatomy and its structure, explains why the heart’s 6 dynamic actions of narrowing, shortening, lengthening, widening, twisting and uncoiling happen. This database raises questions about deductions behind “accepted cardiac mechanics”, and its functional aspects will challenge and overturn them. These suppositions include the LV, RV, and septum description, timing of mitral valve opening, isovolumic relaxation period, reasons for torsion/twisting, untwisting, reasons for longitudinal and circumferential strain, echocardiographic sub segmentation, resynchronization, RV function dynamics, and diastolic dysfunction’s cause and unrecognized septum impairment. Torrent Guasp’s revolutionary contributions may alter future understanding of the diagnosis and treatment of cardiac disease.

Keywords

conventional heart anatomy; helical ventricular myocardial band; mitral valve opening; isovolumic relaxation time; RV function; diastolic dysfunction

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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