We appreciate the comments from Dr. van Dalen and colleagues and agree that twist may increase as a result of pathologies, which reduce contractility of subendocardial fibers with oppositely oblique… Click to show full abstract
We appreciate the comments from Dr. van Dalen and colleagues and agree that twist may increase as a result of pathologies, which reduce contractility of subendocardial fibers with oppositely oblique orientation to the subepicardial fibers. The main reason a relatively small fiber shortening is
               
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