Left Ventricular Performance in Various Heart Diseases with or without Heart Failure : An appraisal by quantitative one-plane cineangiocardiography

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概要

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• Quantitative one-plane cineangiocardiography in right anterior oblique position for evaluation of LV performance was carried out in 62 patients with various heart diseases and in 13 subjects with normal LV. Parameters for evaluating both pump and muscle performances were derived from volume and pressure measurements. Of 31 patients with either systolic hypertension or LV myocardial diseases (coronary artery disease or idiopathic cardiomyopathy), 14 had clinical evidence of LV failure before the study. It was found that mean V_<CF> and EF were most sensitive indicators of impaired LV performance among the various parameters. There was a close correlation between mean V_<CF> and EF, yet discordant changes of both parameters were noted in some patients. Furthermore, wall motion abnormalities were not infrequently observed in patients with coronary artery disease or primary cardiomyopathy. Therefore, assessment of at least three ejection properties (EF, mean V_<CF> and wall motion abnormalities) are considered to be essential for full understanding of derangement of LV function in heart disease. This is especially true of patients with coronary artery disease. LV behavior in relation to different pathological stresses or lesions, such as chronic pressure or volume load, myocardial disease and mitral stenosis, was also studied and possible cause of impaired LV myocardial function in mitral stenosis was discussed.

• 社団法人日本循環器学会の論文
• 1978-02-20

著者

• Chen Jin-jer

  The Department Of Internal Medicine National Taiwan University College Of Medicine And National Taiw

• LIEN Wen-Pin

  Department of Internal Medicine, National Taiwan University College of Medicine and National Taiwan

• LEE Ying-Shiung

  Department of Internal Medicine, National Taiwan University College of Medicine and National Taiwan

• CHANG Fu-Zen

  Department of Internal Medicine, National Taiwan University College of Medicine and National Taiwan

• CHEN Jin-Jer

  Department of Internal Medicine, National Taiwan University College of Medicine and National Taiwan

• SHIEH Wen-Bin

  Department of Internal Medicine, National Taiwan University College of Medicine and National Taiwan

• Shieh Wen-bin

  Department Of Internal Medicine National Taiwan University College Of Medicine And National Taiwan U

• Lien Wen-pin

  The Department Of Internal Medicine National Taiwan University College Of Medicine And National Taiw

• Lien Wen-pin

  Department Of Internal Medicine National Taiwan University Hospital

• Chang Fu-zen

  The Departments Of Internal Medicine And Surgery National Taiwan University College Of Medicine And

• Lien Wen-pin

  The Departments Of Internal Medicine And Surgery National Taiwan University College Of Medicine And

• Chen Jin-cer

  The Departments Of Internal Medicine And Surgery National Taiwan University College Of Medicine And

• Lee Ying-shiung

  The Departments Of Internal Medicine And Surgery National Taiwan University College Of Medicine And

• LEE Ying-Shiung

  Department of Internal Medicine, Chang Gung Memorial Hospital

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