Regional myocardial blood flow during hyperemia induced by contrast agent in patients with coronary artery disease
| Autor: | Douglass F. Adams, Richard Gorlin, Barbara H. Roberts, Peter F. Cohn, B. Leonard Holman, John Idoine, Jackie R. See |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
medicine.medical_specialty
Time Factors Asynergy Heart Ventricles media_common.quotation_subject Contrast Media Coronary Disease Hyperemia Coronary artery disease Coronary Circulation Internal medicine medicine Humans Contrast (vision) In patient media_common business.industry Angiocardiography Ventricular wall Washout Blood flow medicine.disease Coronary Vessels Myocardial Contraction Stenosis Cardiology Cardiology and Cardiovascular Medicine business Blood Flow Velocity |
| Zdroj: | The American Journal of Cardiology. 38:416-421 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/0002-9149(76)90456-2 |
| Popis: | Regional myocardial specific blood flow (regional specific flow) was measured at rest and during contrast hyperemia after the intracoronary injection of xenon-133. The changes in regional specific flow were transient, resulting in some compromise in one of the underlying restraints of the inert gas washout method, namely, the presence of a steady state. Therefore, to determine the clinical utility of this technique, regional specific flow values obtained with this method were correlated with the presence and severity of coronary artery disease as assessed from the coronary arteriogram and left ventriculogram. Regional specific flow during contrast hyperemia was 186+/- 11 (mean +/- 1 standard error of the mean) ml/min per 100 g in control patients and 115+/-5 in patients with coronary artery disease. There was an inverse relation between regional specific flow during contrast hyperemia and the percent coronary stenosis when the stenosis was 40 percent or greater (r = 0.70, P less than 0.001). Regional specific flow was significantly less in patients with asynergy (77 +/- 10 ml/min per 100 g) than in patients with normal ventricular function (105 +/- 5) distal to coronary stenoses of greater than 75 percent. Thus regional specific flow measured during contrast hyperemia using the xenon washout technique and the Anger camera differentiated patients with normal coronary arteriograms from those with coronary artery disease. With this technique, good correlation was shown between regional specific flow and the percent coronary stenosis and presence of ventricular wall abnormalities. The information obtained with this method may provide prognostic information concerning suitability for surgical intervention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|