AI Article Synopsis
- Surgical restoration of the failing heart focuses on reconstructing its normal shape, shifting from a dilated spherical form back to an ideal elliptic configuration.
- Understanding the heart's fiber orientation is crucial, as it directly affects heart function and outcomes of surgical interventions.
- Imaging guidelines should prioritize measures of heart volume and muscle condition rather than just ejection fraction, leading to better surgical results and long-term heart health.
Article Abstract
Surgical restoration of the failing heart is related to rebuilding cardiac architecture and linked to: (a) understanding that the structure of the failing dilated heart involves changing the normal elliptic shape toward a dilated spherical form; (b) recognizing the anatomic fiber orientation framework and its functional implications; (c) establishing imaging measurement guidelines to determine indications for surgical intervention that focus upon volume and remote muscle evaluation rather than ejection fraction; and (d) summarizing left ventricular restoration results whereby rebuilding normal elliptic configuration improves function, reduces ventricular arrhythmias, alleviates mechanical dyssynchrony, and causes progressive improvement that extends long-term prognosis.
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| http://dx.doi.org/10.1016/j.hfc.2008.02.004 | DOI Listing |
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