PMID- 11696829 OWN - NLM STAT- MEDLINE DCOM- 20011218 LR - 20191210 IS - 0894-7317 (Print) IS - 0894-7317 (Linking) VI - 14 IP - 11 DP - 2001 Nov TI - Noncircumferential myofiber function: impact on early diastolic filling in children. PG - 1065-9 AB - Circumferential and noncircumferential myofiber contraction may have varying impact on systolic and diastolic function. The purpose of this study was to determine the relation of circumferential, longitudinal, and oblique fiber shortening to early diastolic filling in children. Twenty-five patients (8.1 +/- 5.6 years of age; 12 boys and 13 girls) with normal echocardiograms and no heart disease had prospective echocardiographic evaluation of circumferential (shortening fraction, fractional area change), longitudinal (left ventricular axial shortening), combined circumferential and longitudinal (left ventricular ejection fraction), oblique (left ventricular systolic twist [LVST]) shortening, and early diastolic filling. Mean LVST was 16 +/- 8 degrees. There was no relation between early diastolic filling indexes and indexes of circumferential or longitudinal shortening. However, there was a significant inverse relation between heart rate-corrected E-wave acceleration time and LVST (r = 0.63, P <.001). Oblique fiber shortening affects early diastolic filling in children. Describing the functional role of noncircumferential left ventricular myofibers may improve our understanding of global left ventricular function. FAU - Michelfelder, E C AU - Michelfelder EC AD - Noninvasive Cardiac Imaging and Hemodynamic Research Laboratory, Division of Cardiology, Children's Hospital Medical Center, 3333 Burnet Ave., OSB-4, Cincinnati, OH 45229, USA. miche0@chmcc.org FAU - Khoury, P AU - Khoury P FAU - Witt, S A AU - Witt SA FAU - Glascock, B J AU - Glascock BJ FAU - Kimball, T R AU - Kimball TR LA - eng PT - Evaluation Study PT - Journal Article PL - United States TA - J Am Soc Echocardiogr JT - Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography JID - 8801388 SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Diastole MH - Echocardiography MH - Female MH - Heart Ventricles/diagnostic imaging MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Muscle Fibers, Skeletal/*physiology MH - *Myocardial Contraction MH - Observer Variation MH - Regression Analysis MH - Reproducibility of Results MH - *Ventricular Function EDAT- 2001/11/07 10:00 MHDA- 2002/01/05 10:01 CRDT- 2001/11/07 10:00 PHST- 2001/11/07 10:00 [pubmed] PHST- 2002/01/05 10:01 [medline] PHST- 2001/11/07 10:00 [entrez] AID - S0894731701742824 [pii] AID - 10.1067/mje.2001.114843 [doi] PST - ppublish SO - J Am Soc Echocardiogr. 2001 Nov;14(11):1065-9. doi: 10.1067/mje.2001.114843.