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Read e-book online Coronary Artery Diseases: Diagnostic and Therapeutic Imaging PDF

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

ISBN-10: 364269604X

ISBN-13: 9783642696046

ISBN-10: 3642696066

ISBN-13: 9783642696060

2 Diagnostic Use of Radiographic equipment 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 dangers 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 foundation, Calibre and Preponderance of the Coronary Arteries . . . . . . . . . . . . . . . . . . . . . . . . eighty four 2. 2 Nomenclature and Segmentation of the Coronary Arteries . . . . . . . . . . . . . . . . . . . . . . 87 2. three A Reminder concerning the body structure of Coronary stream . . . . . . . . . . . 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 process . . 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 foundation, direction and Distribution of Coronary Arteries bobbing 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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4 Conclusion An assessment of left ventricular function is of prime importance in the manage- ment of patients with suspected ischaemic heart disease. The basal condition of the ventricle can be assessed non-invasively by ECG-gated blood pool imaging and by echo cardiography. Changes in left ventricular function during myocardial ischaemia can be assessed by blood pool imaging, if the episode is long, or by precordial counting. The detection of these transient changes in left ventricular function is of great diagnostic value.

4 (right). Left ventricular aneurysm. S. Subepicardial calcification of an old antero-apical myocardial infarct. 6). When not clearly superficial, they indicate calcification of an intraventricular thrombus. They are easy to distinguish from pericardial calcifications, which are located preferentially along the atrioventricular and interventricular grooves and are more spread out and irregular. Left atrial dilatation appears either when left ventricular function is quite altered and there is increased filling pressure, or when there is mitral regurgitation due to fibrosis or ischaemic dysfunction of a papillary muscle.

If the skeleton is not well delineated, it suggests either that there was a delayed clearance secondary to intrinsic renal disease or dehydration or that the in vivo binding of 99mTc PYP was inadequate. 3 Interpretation When the images are read, scintigraphic abnormalities are usually classified firstly as localized or diffuse, and the intensity of the pattern is compared to that of the ribs [23,30]. e. 3 + and 4+). Likewise, focal uptake graded at 2 + represents infarcted tissue, but diffuse uptake at this level of intensity is more difficult to interpret and has been graded by Berman et al.

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Coronary Artery Diseases: Diagnostic and Therapeutic Imaging Approaches by Michel Amiel M.D., Attilio Maseri M.D., Hubert Petitier M.D., Norbert Vasile M.D. (auth.)


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