Estimation of Left Ventricular Aneurysm Utilizing Cineangiographic Film

Y. Kattami, Noori; M. Yacoub, Sabah

	Estimation of Left Ventricular Aneurysm Utilizing Cineangiographic Film
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 25, Issue 4, 2012, Pages 333-336
Authors
Noori Y. Kattami; Sabah M. Yacoub
Abstract
Abstract: Background: LVA is any large area of LV dyskinesia or akinesia that reduces LV ejection fraction. Left ventricular aneurysm therapy (medically or surgically) depends on the estimation of normal and abnormal left ventricular wall motion by determination the perimeter of left ventricular aneurysm, left ventricular volume and shape indices, and ejection fraction. Objectives: To estimate left ventricular aneurysm from left ventricular cineangiogram films, in patients with coronary artery disease who underwent cardiac catheterization. Methods: Left ventricular cineagiograms of ten patients with left ventricular aneurysm, who underwent cardiac catheterization in 2002 at Al-Rasheed teaching Hospital/ Cardiac Catheterization Laboratory, were analyzed to determine LV volume indices, LV shape indices, and to measure the size of LVA (the percentage of the diastolic akinetic and/or dyskinetic perimeter), and compared to a computerized LV model (previously established at the Department of Physiology/ Al-Mustansiriya Medical College). Results: There was decreasing in ejection fraction with respect to increasing of LV wall motion abnormality (inverse correlation, r = - 0.95, P < 0.001). The results obtained were utilized to establish a prognostic fitting diagram for therapeutic management of the patients with left ventricular aneurysm. Conclusion: In the present study LV wall motion and ejection fraction of the patients studied were utilized for the quantification of the global and segmental LV dysfunction as an effort to decide the way of therapy.

Statistics Article View: 112 PDF Download: 2