Heart Function: Left Ventricular Rotation

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10 Questions

What is the direction of the subepicardial layer spiral in the left ventricle?

Leftward

What causes the wringing motion of the left ventricle during systole?

The twisting motion of the subepicardial and subendocardial layers

What is the state of the left ventricle at the end of systole?

It is similar to a loaded spring

What happens to the left ventricle during diastole?

It relaxes and untwists

What is the direction of the rotation of the base of the left ventricle during the ejection phase?

Clockwise

What is the main function of the left ventricular twist during systole?

To aid in the ejection of blood from the left ventricle

What is the direction of the rotation of the apex of the left ventricle during the ejection phase?

Counterclockwise

What is the result of the opposing spiral directions of the subepicardial and subendocardial layers?

A torsional force that aids in ejection and relaxation

What is the state of the left ventricle immediately before diastole?

A loaded spring-like state

What is the purpose of the left ventricular recoil during diastole?

To allow rapid filling of the pumping chambers

Study Notes

Left Ventricular Rotation (Twist)

  • The left ventricle is composed of complex muscle fiber layers that run in different directions, enabling the heart to contract in a twisting motion during systole.
  • The subepicardial (outer) layer of the left ventricle spirals in a leftward direction.
  • The subendocardial (inner) layer of the left ventricle spirals in a rightward direction.
  • The opposing spiral directions of the subepicardial and subendocardial layers cause counterclockwise rotation of the apex of the heart and clockwise rotation of the base of the left ventricle during the ejection phase.
  • This twisting motion results in a wringing motion of the left ventricle, pulling the base downward toward the apex during systole.
  • At the end of systole, the left ventricle is similar to a loaded spring, storing potential energy.
  • During diastole, the left ventricle recoils or untwists, releasing the stored energy and allowing blood to enter the pumping chambers rapidly.

Left Ventricular Rotation (Twist)

  • The left ventricle is composed of complex muscle fiber layers that run in different directions, enabling the heart to contract in a twisting motion during systole.
  • The subepicardial (outer) layer of the left ventricle spirals in a leftward direction.
  • The subendocardial (inner) layer of the left ventricle spirals in a rightward direction.
  • The opposing spiral directions of the subepicardial and subendocardial layers cause counterclockwise rotation of the apex of the heart and clockwise rotation of the base of the left ventricle during the ejection phase.
  • This twisting motion results in a wringing motion of the left ventricle, pulling the base downward toward the apex during systole.
  • At the end of systole, the left ventricle is similar to a loaded spring, storing potential energy.
  • During diastole, the left ventricle recoils or untwists, releasing the stored energy and allowing blood to enter the pumping chambers rapidly.

Learn about the complex muscle fiber layers in the left ventricle and how they enable the heart to contract in a twisting motion during systole, aiding ejection and relaxation.

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