"Since the publication of Fundamentals of the New Cardiac Mechanics: The Suction Pump, ten years ago, there has been a productive succession of studies and research by these brilliant scientists who expanded the knowledge of cardiac mechanics and the myocardial muscle structures and bands. They found the presence of an osseous or cartilaginous tissue, which they called the cardiac fulcrum, where the myocardial bands begin and end, it serves as support for the entire system; they also documented the finding of the lubrication of the entire muscular framework of the heart.
This knowledge enriches our understanding about the anatomy, physiology, and mechanical contraction of the heart, and thanks to the results, better treatments for heart failure are made possible. Until now, cardiologists explained heart contraction and its failures with the Frank-Starling Law (or simply the Starling Law); now, these new concepts of myocardial torsion and detorsion have been introduced, and the consequent protodiastolic suction through the contraction of sectors that contribute to the detorsion and active expansion of the ventricular cavities, generating an aspirating movement of the blood and a three-phase cardiac cycle. Furthermore, they explain the loss of the ventricles' aspirating capacity due to their dilation, when part of the myocardial torsion and detorsion is lost, and consequently, the heart's efficiency as a pump. I am truly convinced that these findings have opened up great lines of research for the future understanding of heart failure" (Dr. Pedro Cossio).
Autorentext
Jorge C. Trainini: Formed Head of the Cardiovascular Surgery Service and Director of the Presidente Perón, Avellaneda Hospital, Avellaneda, Buenos Aires, Argentina. Honorary Proffesor, National University of Avellaneda (UNDAV), Buenos Aires, Argentina. Formed President of the Argentine College of Cardiovascular Surgeons.
Mario A. Beraudo: Cardiovascular surgeon. Clínica Güemes, Luján, Buenos Aires, Argentina.
Mario Wernicke: Pathologist. Clínica Güemes, Luján, Buenos Aires, Argentina.
Alejandro Trainini: Cardiovascular surgeon. Hospital Presidente Perón, Avellaneda, Buenos Aires, Argentina. Hospital Posadas, Haedo, Buenos Aires, Argentina.
Jorge A. Lowenstein: Director of the Cardio Diagnosis Division at Investigaciones Médicas and Diagnóstico Médico, Belgrano office, Buenos Aires, Argentina. Former President of the InterAmerican Cardiovascular Imaging Society (SISIAC).
Catrin Rutland: BSc PGCHE MSc MMedSci PhD DSc SFHEA FAS UKCGE. Recognized Research SupervisorSub-Dean for Postgraduate Research. Deputy Head of Division. Professor of Molecular Medicine. Faculty of Medicine and Health Sciences. The University of Nottingham.
Benjamín D. Elencwajg: Head of Electrophyisiology, Hospital Presidente Perón, Avellaneda, Buenos Aires, Argentina.
Francesc Carreras-Costa: Honorary Director, Cardiac Imaging Unit, Hospital de la Santa Creu i Sant Pau, Barcelona. CIBERCV-ISCIII- ELEM Biotech.
Marta Cohen: Histopathology, Sheffield Children's NHS Foundation Trust, United Kingdom.
Jesús Valle Cabezas: Naval, Architect, Ph D, Madrid, España.
Efraín Herrero: Cardiology. Echocardiography. Henderson Hospital, Province of Buenos Aires, Argentina.