ISSN:
1615-2573
Keywords:
Coronary collateral circulation
;
Isovolumic contraction
;
Myocardial hypertrophy
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary To evaluate the natural course of changes in regional left ventricular function after acute myocardial infarction, we compared cineventriculograms taken during the acute and chronic stages of myocardial infarction in ten patients who had sustained coronary occlusion despite intracoronary thrombolysis. Three ventricular silhouettes (end diastole, aortic valve opening, and closure) were superimposed using external reference markers, and 36 radial grids were drawn from the center of gravity of the end-diastolic silhouette to the endocardial margin of each silhouette. Measurement of the length of each radial grid provided quantitative details of segmental centripetal wall motion. In the infarcted area, percentage total systolic shortening (%ΔLTOT), isovolumic shortening (%ΔLISO), and ejection phase shortening (%ΔLEJ) remained unchanged. In the nonischemic area, %ΔLTOT tended to increase from 34%±6% to 41%±6%. Although %ΔLISO was unchanged (9%±4% vs. 8%±1%), %ΔLEJ increased from 25%±4% to 37%±6% (P〈0.05). Thus, progressive increases in ejection phase shortening in normal regions may contribute to the functional recovery of the left ventricle after myocardial infarction.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02058792
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