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" "William Harvey... who in England discovered the circulation... wrote this wonderful book called Anatomical Exercises... [S]uddenly he is here with the new idea of the circulation and some other ideas... He contradicted Vesalius who fitted to the Galenic system of ebb and flow concept. That's the twist and suction that the heart always has. Harvey says it didn't happen that way. It didn't dilate and take the shape of cupping glass and suck blood into it. Well, Harvey was a brilliant and wonderful person, but he wasn't perfect, and he was wrong. Because the heart does exactly what he said it didn't do.
(September 29, 1935 - September 20, 2018) was a Distinguished Professor of Surgery, Division of Cardiothoracic Surgery, at the . His research interests initially centered in the area of myocardial protection and led to the introduction of blood , which is currently used by over 85% of surgeons in the United States and 75% of surgeons worldwide for adult and pediatric heart operations. He was a member of multiple surgical societies, including the , , and the .
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Dr Torrent-Guasp... formalized this description by indicating that the heart looked like a "rope"... [in] three parts: a beginning and an end at the and ; a wraparound loop called a basal loop; and... a helix that he called the apical loop. ...He described a [billion year old] worm... with a vascular tube... like a rope, with a venous and an arterial system. ...[F]ish evolved to show the first generation of a heart, containing a single pumping chamber, and included gills... [Next] the amphibian and the reptile appeared, in which we observe an atrium and a ventricle. Each chamber was separated by an atrial and ventricular septal defect. Human beings developed... [later] and both the atrial defect and the ventricular defect are closed.
[P]acemakers elevate the heart rate... but they don’t always reproduce a normal heartbeat. ...[I]f the pacemaker leads are placed directly in ventricular muscle... the natural electrical system is not utilized. ...[T]here is loss of the natural twisting motion needed for efficient contraction.
It may even cause heart function to worsen and produce heart failure in patients with dilated hearts. In other patients, fatigue will not improve, and shortness of breath will not get better.
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[I]f you look at the diseases we see... a narrowing in the coronary artery... a valve becomes leaky, either the or the , or people who have muscular disease. The heart changes from an ellipse to a sphere. In a sense... from a football to a basketball. ...[T]here's alteration in the fiber direction of the ventricle.