Hanna's heart twisted and for an instant she closed her eyes in pain.

Zev's heart twisted at the sight of his friend in such condition.

His heart twisted painfully, and he had to look away.

His old eyes lit for a second when he saw her, and her heart twisted in pain.

She looked so poised and beautiful that James's heart twisted into a knot.

His heart twisted at the sight of her torn neck.

He looked so dejected, Alice's heart twisted as if the pain were her own.

Her heart twisted painfully at the thought of leaving him.

She looked at his quiet face, and her heart twisted.

As she heard the sound of children crying, her heart twisted inside her.