Comparison of left ventricular ejection fraction and regional contractility fraction pre and post coronary angiography.

Abstract:

:Thirty patients [four normals, eight with mild and 18 with severe coronary artery disease (CAD)] were studied to evaluate left ventricular function type and post coronary angiography. The end diastolic volume (EDV), end systolic volume (ESV), ejection fraction (EF) and the regional contractility fractions (RCF) of eight ventricular segments were evaluated by left ventriculography. The RCF's were analyzed, in addition to the EF's to ascertain the effect of contrast material upon normal and scarred or ischemic segments of the left ventricle, and to rule out spurious findings in the EF due to coexistent reciprocal changes in RCF's. There was good correlation (r = .45 to .97 and p less than .01 to less than .001) in the above parameters of left ventricular function in patients with and without CAD before and after angiography. Thus, although intraventricular and intracoronary injections of contrast material produce transient changes in myocardial contractility, in a clinical setting left ventriculography may be performed prior to or following coronary angiography without danger of spurious results in normals and in patients with CAD.

journal_name

Invest Radiol

journal_title

Investigative radiology

authors

Sos TA,Baltaxe HA

doi

10.1097/00004424-197603000-00009

keywords:

subject

Has Abstract

pub_date

1976-03-01 00:00:00

pages

138-45

issue

2

eissn

0020-9996

issn

1536-0210

journal_volume

11

pub_type

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