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Coronary Artery Diseases: Diagnostic and Therapeutic Imaging by Michel Amiel M.D., Attilio Maseri M.D., Hubert Petitier

By Michel Amiel M.D., Attilio Maseri M.D., Hubert Petitier M.D., Norbert Vasile M.D. (auth.)

2 Diagnostic Use of Radiographic tools in Coronary disorder. . . . . . . . . . . . . . . . . . . . . . . . . . fifty six three fabric. . . . . . . . . . . . . . . . . . . . . . . . . fifty eight four Mode of Operation . . . . . . . . . . . . . sixty two five Radiological Projections. . . . . . . . . . . . . . . . . sixty three 6 tracking of Cardiac Parameters . . . . . . . . . . . . sixty four 7 Pharmacological checks . . . . . . . . . . . . . . . . sixty six 7. 1 Coronary Arteries . . . . . . . . . . . . . . . . . . . . . sixty six 7. 2 Left Ventricle. . . . . . . . . . . . . . . . . . . . . . . . sixty seven eight injuries and hazards of Coronary Arteriography . . . . . sixty seven References . . . . . . . . . . . . . . . . . . . . . . . . . sixty eight III Angiographic Explorations: basic effects . . . seventy one 1 Left Ventricle and Left Ventricular functionality seventy one 1. 1 Radiological Anatomy. . . . . . . . . . . . seventy one 1. 2 basic Kinetics. . . . . . . . . . . . . . . seventy seven 1. three research of Wall Contraction . . . . . . seventy eight 1. four Volumes and serve as Indexes. . . . . . . eighty one 2 Coronary Arteries and Veins . . . . . . . . eighty four 2. 1 starting place, Calibre and Preponderance of the Coronary Arteries . . . . . . . . . . . . . . . . . . . . . . . . eighty four 2. 2 Nomenclature and Segmentation of the Coronary Arteries . . . . . . . . . . . . . . . . . . . . . . 87 2. three A Reminder in regards to the body structure of Coronary flow . . . . . . . . . . . ninety three 2. four Angiographic Anatomy . . . . . . . . . . ninety four 2. four. 1 Left Coronary Artery . . . . . . . . . . . ninety four 2. four. 2 correct Coronary Artery. . . . . . . . . . . . . ninety five 2. four. three Vascularization of Nodes and the Conduction procedure . . ninety six 2. four. four Interconnecting Anastomoses . . . . . . . . . . . . . . . ninety seven 2. five Coronary Veins . . . . . . . . . . . . . . . . . . . ninety seven References . . . . . . . . . . . . . . . . . . . . . . . . . ninety eight IV Angiographic Explorations: Congenital Anomalies of the Coronary Arteries. . . . . . . . . . . . . . . . . . . . . . . . a hundred 1 Anomalies of the starting place, direction and Distribution of Coronary Arteries coming up from the Aorta . . . . . . . . a hundred 2 irregular beginning of a Coronary Artery from the Pulmonary Artery . . . . . . . . . . . . . . . . . . . . . one hundred and one three Anomalies within the Diameter of Coronary Arteries . . . . . 104 four Coronary Fistulae . . . . . . . . . . . 109 References . . . . . . . . . . . . . . . . . . . . . . . . . 113 VII V Angiographic Explorations: Coronary Atheroma. . . . . . . . 114 1 Left Ventricle . . . . . . . . . . . . . . . . . . . . . . . . 114 1. 1 Morphological Anomalies: Bulging and Lacuna-Like elements . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Extra info for Coronary Artery Diseases: Diagnostic and Therapeutic Imaging Approaches

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Coronary arteriography may indicate that this reduced supply is due to arterial spasm. 2 Effort Angina Abnormal scintigrams are almost invariably obtained in the presence of ST elevation or normalization of T waves (Fig. 7) [16]. Some of these patients also have attacks of angina at rest, so that it is probable that an absolute reduction in perfusion is partly responsible for the ischaemia. Indeed, coronary arterial spasm has been documented by arteriography in some cases with exercise-induced ST segment elevation.

Circulation 61: 759 41. Green MY, Ostrow HG, Douglas MA, Myers RW, Scott RN, Bailey 11, lohnston GS (1975) High temporal resolution ECG gated scintigraphic angiocardiography. 1 Nucl Med 16: 95 42. Pavel DG, Zimmer AM, Patterson VN (1977) In-vivo labelling of red blood cells with 99mTc. A new approach to blood pool visualisation. 1 Nucl Med 18: 305 43. Davies Gl, Bencivelli W, Parodi 0, Pisani P, Falchi E, L'Abbate A, Maseri A (1981) ECG gated blood pool imaging tailored to study transient changes in left ventricular contractility.

44] were able to detect transient regional wall motion abnormalities during exercise in all 11 patients with significant coronary artery disease. These regional contraction abnormalities were associated with a fall in ejection fraction in ten patients, ranging between 7% and 47%. All 14 normals showed an increase in ejection fraction (mean ± SE = 23 % ± 3%) and no regional wall motion abnormality. Several other workers have, more recently, demonstrated the high sensitivity of the technique in 36 LV I : t 1 J ,.

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