**Author details**

Gohar Jamil1 , Ahmed Abbas1 , Abdullah Shehab2 and Anwer Qureshi1\*

\*Address all correspondence to: aqureshi@tawamhospital.ae

1 Division of Cardiology, Tawam Hospital, Al Ain, United Arab Emirates

2 Faculty of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates

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**Chapter 2**

**Left Ventricular Twist in Cardiomyopathy**

Merely 50 years ago, Inge Edler and Helmut Hertz were the first to use an ultrasound trans‐ ducer, borrowed from a local shipyard where it was used for the detection of cracks in metal plates, to record the motion of cardiac structures. Ever since then, the clinical use of echocar‐ diography has steadily increased. Echocardiography is an attractive imaging modality for several reasons. It is highly available, relatively inexpensive, it does not involve ionising radiation, and images are displayed in realtime allowing prompt diagnosis. However, despite a staggering technical progress in echocardiography, regional myocardial function was, until recently, still assessed by visual analysis of wall motion, a relatively inaccurate and poorly

During the last 10 years, tissue Doppler imaging has been developed to quantify regional myocardial function [1]. Initially formatted as a one-dimensional method for measurement of regional longitudinal myocardial velocity profiles, tissue Doppler imaging has been further developed to allow measurements of one-dimensional regional strain [2]. This index measures local deformation as opposed to (passive and active) motion and thereby better reflects regional myocardial function. However, tissue Doppler imaging is inextricably limited by the angle-dependency of the technique. Because of this limitation, it is not clinically feasible to measure myocardial deformation in directions not parallel to the direction of the Doppler beam, such as left ventricular rotation. Although some have tried to override this limitation by applying complex algorithms [3], measurement of left ventricular rotation by echocardiog‐ raphy has only recently become clinically feasible by the development of speckle tracking

and reproduction in any medium, provided the original work is properly cited.

© 2013 van Dalen and Geleijnse; licensee InTech. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

© 2013 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution,

B.M. van Dalen and M.L. Geleijnse

http://dx.doi.org/10.5772/55281

**1. Introduction**

reproducible manner.

echocardiography.

Additional information is available at the end of the chapter

