Heart disease and left ventricular rotation - a systematic review and quantitative summary.

In support of this contention, the only other article to look at an intermediate diastolic dysfunction group showed borderline significant increases in apical rotation ( P = 0.07) and twist ( P = 0.18), with no difference in the more severe diastolic dysfunction group.[ 68 ] Considering the available evidence, the literature supports the notion that systolic rotation is increased in those with mild diastolic dysfunction but normalizes in more severe stages of disease.

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