Abstract
A technique for the estimation of LVEF from first passage radionuclide angiocardiography was adapted to provide estimates of RVEF. In 17 subjects with no history of cardiovascular disease mean LVEF was 0.71±0.08 and mean RVEF 0.65±0.08. Mean values for 15 subjects with coronary artery disease but no previous history of myocardial infarction were 0.66±0.10 for LVEF and 0.65±0.08 for RVEF. Depressed ejection fractions were found after acute myocardial infarction. LVEF was lower after anterior (0.43±0.06) than inferior (0.51±0.10) infarction. RVEF was normal in the majority of subjects with anterior infarction (0.58±0.10) but was depressed after inferior infarction (0.50±0.05). Similar, although less marked, results were found in a group of subjects with old myocardial infarction.
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Arcilla, R.A., Tsai, P., Thilemus, P.G., Ranniger, K.: Angiographic method for volume estimation of right and left ventricles. Chest60, 446 (1971)
Berger, H.J., Motthay, R.A., Menshall, R.C., Gottschalk, A., Cohen, C.S., Zaret, B.L.: Noninvasive radionuclide technique for right ventricular ejection fraction in man. Circulation54 (Suppl. 11), 109 (1976)
Bleifeld, W., Hanrath, P., Mathers, D., Merx, W.: Acute myocardial infarction. V: Left and right ventricular haemodynamics in cardiogenic shock. Br. Heart J.36, 822 (1974)
Cohn, J.N., Guiha, N.H., Broder, M.I., Constantinow, J.L.: Right ventricular infarction. Am. J. Cardiol.33, 209 (1974)
Erhardt, L.R.: Clinical and pathological observations in different types of acute myocardial infarction. Acta. Med. Scand. Suppl. 560 (1974)
Erhardt, L.R., Sjogren, A., Wahlberg, I.: Single right sided praecordial lead in the diagnosis of right ventricular involvement in inferior myocardial infarction. Am. Heart. J.91, 571 (1976)
Farrer Brown, G.: Vascular pattern of the myocardium of right ventricle of human heart. Br. Heart J.30, 679 (1968)
Ferlinz, J., Gorlin, R., Cohn, R.F., Herman, M.V.: Right ventricular performance in patients with coronary artery disease. Circulations52, 608 (1975)
Ferlinz, J., Delvicario, M., Gorlin, R.: Incidence of right ventricular asynergy in patients with coronary artery disease. Am. J. Cardiol.38, 557 (1976)
Fisher, E.A., DuBrow, I.W., Hastreiter, A.R.: Right ventricular volume in congenital heart disease. Am. J. Cardiol.36, 67 (1975)
Fluck, D.C., Valentine, P.A., Treister, B., Higgs, B., Reid, D.N., Sleiner, R.E., Mounsey, J.P.D.: Heart pressures in acute myocardial infarction. Br. Heart J.29, 748 (1967)
Fulton, F.M.: The coronary arteries. Illinois: Charles C. Thomas 1965
Gentzler, R.D., Briselli, M.F., Gaultm, J.H.: Angiographic estimation of right ventricular volume in man. Circulation50, 324 (1974)
Graham, T.P., Jarwakani, J.M., Atwood, G.F., Canent, R.V.: Right ventricular volume determinations in children. Circulation47, 144 (1973)
Graham, T.P., Bender, H.W., Atwood, G.F., Page, D.L., Sell, C.G.R.: Increase in right ventricular volume following valvolotomy for pulmonary atresia or stenosis with intact ventricular septum. Circulation49 & 50 (Suppl. 11), 11–19 (1974)
Graham, T.P., Atwood, G.F., Baucek, R.J., Boerth, R.C., Nelson, J.H.: Right heart volume characteristics in transposition of the great arteries. Circulation51, 881 (1975)
Graham, P.G. Jr., Cordell, D., Atwood, G.F., Boucek, R.J., Boerth, R.C., Bender, H.W., Nelson, J.H., Vaughn, W.K.: Right ventricular volume characteristics before and after palliative and reparative operation in tetralogy of Follat. Circulation54, 417 (1976)
Harnaroyan, C., Bennett, M.A., Pentecost, B.L.: Quantitative study of infarcted myocardium in cardiogenic shock. Br. Heart J.32, 728 (1970)
Jamarkani, J.M.H., Canent, R.C.: Preoperative and post-operative right ventricular function in children with transposition of the great vessels. Circulation49 & 50 (Suppl. 11), 11–39 (1974)
Nakazawa, M., Marks, R.A., Isabel-Jones, J., Jamarkani, J.M.: Right and left ventricular volume characteristics in children with pulmonary stenosis and intact ventricular septum. Circulation53, 884 (1976)
New York Heart Association. Nomeclature and Criteria for the diagnosis of diseases of the heart and great vessels, 7th Ed. Boston, Little and Brown (1973)
Noble, M.I.M.: The Frank-Starling curve. Clin. Sci. Mol.54, 1 (1978)
Rigo, P., Murray, M., Taylor, D.R., Weisfeldt, M.L., Kelly, D.T., Strauss, H.W., Pitt, B.: Right ventricular dysfunction detected by gated scintiphotography in patients with acute inferior myocardial infarction. Circulation52, 208 (1975)
Schelbert, H.R., Verba, J.W., Johnson, A.D.: Non traumatic determination of left ventricular ejection fraction by radionuclide angiocardiography. Circulation51, 902 (1975)
Sharp, D.N., Botvinick, E.H., Shames, D.M., Schiller, N.B., Massie, B.M., Chatterjee, K., Parmley, W.W.: The non invasive diagnosis of right ventricular infarction (1978)
Thelemus, P.G., Arcilla, R.A.: Angiographic right and left ventricular volume determination in normal infants and children. Paediatr. Res.8, 67 (1972)
Van Dyke, D., Anger, H.O., Sullivan, R.W.: Cardiac evaluation from radioisotope dynamics. J. Nucl. Med.13, 585 (1972)
Wade, W.G.: The pathogenesis of infarction of the right ventricle. Br. Heart J.21, 545 (1959)
Wartman, W.B., Hellerstein, H.K.: The incidence of heart disease in 2000 consecutive autopsies. An. Intern. Med.28, (1948)
Yater, W.M., Traum, A.H., Brown, W.G., Fitzgerald, R.P., Geisler, M.A., Wicox, B.B.: Coronary artery disease in men eighteen to thirty-nine years of age. Am. Heart J.36, 683 (1948)
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Walton, S., Rowlands, D.J., Shields, R.A. et al. Study of right ventricular function in ischaemic heart disease using radionuclide angiocardiography. Intensive Care Med 5, 121–126 (1979). https://doi.org/10.1007/BF01683193
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DOI: https://doi.org/10.1007/BF01683193