Resting myocardial velocity gradient is a reliable measurement that identifies viable myocardium.

In the setting of coronary artery disease, two-thirds of LV dysfunction is not the result of irreversible scar, but rather caused by impairment in function and energy use of 'still-viable' myocyte. The opportunity for improved function, if coronary blood flow is restored, is there which makes the id...

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Publicado en:Echocardiography Vol. 26; no. 6; pp. 684 - 691
Autor principal: Rayan MM
Formato: diagnostic images research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1540-8175.2008.00859.x
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        atl: Resting myocardial velocity gradient is a reliable measurement that identifies viable myocardium.
      aug:
        au: Rayan MM
        affil: Ain Shams University, Cardiology Department, Cairo, Egypt; braveear58@yahoo.com
      sug:
        subj:
          Cardiac Patients
          Echocardiography, Doppler
          Myocardium Ultrasonography
          Chi Square Test
          Data Analysis Software
          Data Analysis, Statistical
          Descriptive Statistics
          Female
          Male
          Middle Age
          P-Value
          Predictive Value of Tests
          Sensitivity and Specificity
          T-Tests
          Human
          Middle Aged: 45-64 years
          Female
          Male
      ab: In the setting of coronary artery disease, two-thirds of LV dysfunction is not the result of irreversible scar, but rather caused by impairment in function and energy use of 'still-viable' myocyte. The opportunity for improved function, if coronary blood flow is restored, is there which makes the identification of viable myocardium important. Purpose: The purpose of this study is to identify the value of resting myocardial velocity gradient (MVG) in detecting viable myocardium in patients with healed anterior wall myocardial infarction (MI). Patients and methods: The study included 30 patients with healed anterior MI, who were submitted to conventional echocardiography and tissue Doppler for measurement of MVG. Myocardial perfusion scan using Technetium (Tc)-99m was the gold standard test for the detection of viability. Ten healthy control subjects were also included to obtain reference values for MVG. Results: Resting MVG was able to differentiate infarct regions, and to detect viable myocardium compared to Tc-99m studies (0.68 +/- 0.2 vs 0.49 +/- 0.22) P < 0.01. Conclusion: MVG provides quantitative assessment of the regional wall thickening that help localizing the infarct zone and detecting viable myocardium at rest.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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