Adenosine provokes diastolic dysfunction in microvascular angina

Autor: Ann C. Tweddel, A. Lee, Alan Gordon Fraser, M. Robinson, D. Vinereanu
Rok vydání: 2002
Předmět:
Zdroj: Postgraduate Medical Journal. 78:40-42
ISSN: 1469-0756
0032-5473
DOI: 10.1136/pmj.78.915.40
Popis: Adenosine stress echocardiography was performed in nine patients (58 (±3) years, eight women) with documented microvascular angina. Global ventricular function was assessed by Tc99m blood pool imaging and Doppler, whereas longitudinal ventricular function was assessed by simultaneous tissue Doppler echocardiography of the lateral mitral annulus. Adenosine was infused incrementally to onset of chest pain in all patients. There was no significant change in global or longitudinal systolic function. Adenosine induced global diastolic dysfunction, demonstrated by blood pool imaging and by Doppler of the transmitral flow. All patients had long axis diastolic dysfunction at peak adenosine, revealed by a ratio of early to late diastolic velocity of lateral mitral annulus
Databáze: OpenAIRE