Abstract
The constrast left ventriculogram is the gold standard against which all other cardiac imaging techniques are measured. In the past decade, noninvasive methods such as radionuclide angiography, echocardiography, computed tomography (CT), and digital substraction imaging have become available. This review examines the role of these techniques, and whether they will supersede the selective contrast ventriculogram. Each of these modalities seems to have specific capabilities and superiority in a certain area. Contrast ventriculography is best suited for the functional assessment of the left ventricular wall. Isotopes and CT have great potential for evaluating the myocardium properly. Echocardiography produces good visualization of atrioventricular valves and intracavitary structures. The role of contrast angiography is considered in the workup of the cardiac patient. The contrast angiogram is closely related to the coronary angiogram in the assessment of the patient with arteriosclerotic heart disease and it is still a necessity for the preoperative evaluation of the patient with congenital heart disease.
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Dodge HT, Sandler H, Ballew DW, Lord JD Jr (1960) The use of biphlane angiocardiology for the measurement of left ventricular volume in man. Am Heart J 60:762–776
Als AV, Paulin S, Aroesty JM (1978) Biplane angiographic volumetry using the right anterior oblique and half-axial left anterior oblique technique. Radiology 126:511–514
Wyatt HL, Forrester JS, da Luz PL, Diamond GA, Chagrasulis R, Swan HJC (1976) Functional abnormalities in non-occluded regions of myocardium after experimental coronary occlusion. Am J Cardiol 37:366–372
Kerber RE, Marcus ML, Ehrhardt J, Wilson R, Abboud FM (1975) Correlation between echocardigraphically demonstrated segmental dyskinesis and regional myocardial perfusion. Circulation 52:1097–1104
Greene DG, Carlisle R, Grant C, Bunnell IL (1967) Estimation of left ventricular volume by one plane angiography. Circulation 35:61–68
Martin EC, Wixson D, Baltaxe HA (1977) Regional ejection fractions in patients with patent and thrombosed graft after coronary artery vein bypass surgery. Invest Radiol 12:205–209
Baltaxe HA, Alonso DR, Lee JG, Prat J, Husted JW, Stakes III JW (1974) Impaired left ventricular contractility in ischemic heart disease: Angiographic and histopathologic correlations. Radiology 113:581–585
Pine R, Meister SG, Banka VS, Helfant RH (1973) Use of nitrogelycerin to unmask reversibility of ventricular contraction abnormalities due to coronary disease (abstr). Clin Res 21:442
Horn HR, Teichholz LE, Cohn PF, Herman MV, Gorlin R (1974) Augmentation of left ventricular contraction pattern in coronary artery disease by inotropic catecholemine: The epinephrine ventriculogram. Circulation 49:1063–1071
Wolf GL, Langer AA, Shaw DD, Baltaxe HA (1978) Distinguishing ischemic from fibrotic myocardium during ventriculography by means of physiological potentiation. Radiology 126:821–822
Schelbert HR, Henning H, Rigo P, Chauncey D, O'Rourke RA, Ashburn WL (1976) Considerations of201Tl as a myocardial radionuclide imaging agent in man. Invest Radiol 11:163–171
Shames D, Werner JA, Botvinick E, Shurpe N, Taradash M, Massie B, Purmley W (1977) The clinical application of Tc 99m pyrophasphate imaging (abstr). Clin Res 25:95A
Prasquier R, Taradash ME, Botvinick EH, Shames DM, Parmley WW (1977) The specificity of the diffuse pattern of cardiac uptake in myocardial infarction imaging with technetium-99m stannous pyrophosphate. Circulation 55:61–66
Quaife MA, Boschult P, Baltaxe HA, Dzindzio B (1979) Myocardial accumulation of labeled phosphate in malignant pericardial effusion. J Nucl Med 20:392–396
Geltman EM, Klein MS, Biello D, Siegel BA, Ter-Pergossian MM, Sobel BE (1979) Dependence of impaired regional, ventricular function on underlying, persistent metabolic manifestations of infarction (abstr). Circulation (Suppl II) 59, 60:232
Klein MS, Ter-Pogossian MM, Markham J, Roberts R, Sobel BE (1979) Quantification of infarction by positron emmission tomography in man. Circulation (Suppl II) 59, 60:269
Lipton MJ, Higgins CB (1980) Evaluation of ischemic heart disease by computerized transmission tomography. Radiol Clin North Am 18:557–576
Newell JD, Higgins CB, Mayo FH (1981) Computerized tomography (CT) appearance of the myocardium after reversible and irreversible ischemic injury (abstr). Read to the 29th Annual Meeting of the Association of University Radiologists, New Orleans, Louisiana, April 21–25
Strauss HW, Singleton R, Burrow R, Rehn T, Baily I, Pitt B (1977) Multiple gated acquisition (MUGA): An improved noninvasive technique for evaluation of regional wall motion and left ventricular function (abstr). Am J Cardiol 39:284
Jengo JA, Mena I, Blaufuss A (1978) Evaluation of left ventricular function (ejection fraction and segmental motion) by single pass radioisotope angiography. Circulation 57:326–335
Schneider J, Berger H, Sands MJ, Gottschalk A, Zaret B (1980) The relationship of mean ejection fraction to beat-to-beat function in atrial fibrillation (abstr). Circulation (Suppl III) 62:102
Falsetti HL, Marcus ML, Kerber RE, Skorton DJ (1981) Editorial: Quantification of myocardial ischemia and infarction by left ventricular imaging. Circulation 63:747–751
Borer JS, Kent KM, Bacharach SL, Green MV, Rosing DR, Seides SF, Epstein SE, Johnston GS (1979) Sensitivity, specificity and predictive accuracy of radionuclide cineangiography during exercise in patients with coronary artery disease. Comparison with exercise electrocardiography. Circulation 60:572–580
Bogren HG, Bursch JH, Brennecke R, Heintzen PH (1982) Intravenous angiocardigraphy using digital image processing: Experience with axial projections in normal pigs. Invest Radiol I. Exf 17:216–223
Vine DL, Hegg TD, Dodge HT, Stewart DK, Frimer M (1977) Immediate effect of contrast medium injections on left ventricular volumes and ejection fraction. A study using metallic epicardial markers. Circulation 56:379–391
Jacobs JJ, Feigenbaum H, Corya BC, Phillips JF (1973) Detection of left ventricular function by echocardiography. Circulation 48:263–271
Feigenbaum H, Corya BC, Dillon JC, Weyman AE, Rasmussen S, Black MJ, Change S (1976) Role of echocardiography in patients with coronary artery disease. Am J Cardiol 37:775–786
Corya BC, Rasmussen S, Feigenbaum H, Knoebel SB, Black MJ (1977) Systolic thickening and thinning of the septum and posterior wall in patients with coronary artery disease, congestive cardiomyopathy, and atrial septal defect. Circulation 55:109–114
Dillon JC, Haine CL, Chang S, Feigenbaum H (1971) Use of echocardiography in patients with prolapsed mitral valve. Circulation 43:503–507
Schwartz DC, Kaplan S, Meyer RA (1975) Mitral valve prolapse in children: Clinical, echocardiographic and cineangiographic findings in 81 cases (abstr). Am J Cardiol 35:169
Montella S, Belli C, Corallo S (1976) Variable aspects in mitral valve prolapse. Echocardiographic and phonocardiographic studies of 68 cases. J Ital Cardiol 6:601–612
Sahn DJ, Wood J, Allen HD, Peoples W, Golberg SJ (1971) Echocardiographic spectrum of mitral valve motion in children with and without mitral prolapse: The nature of false positive diagnosis. Am J Cardiol 39:422–431
DeMaria AN, King JF, Salel AF, Caudill CC, Miller RR and Mason DT (1975) Echocardiography and phonography of acute aortic regurgitation in bacterial endocarditis. Ann Intern Med 82:329–335
Dillon JC, Feigenbaum H, Knoecke LL, Davis RH, Chang S (1973) Echocardiographic manifestations of valvular vegetations. Am Heart J 86:698–704
Ranganathan N, Silver MD, Robinson TL, Kosuk WJ, Felderhof CH, Patt NL, Wilson JK, Wigle ED (1973) Angiographic-morphologic correlation in patients with severe mitral regurgitation due to prolapse of the posterior mitral valve leaflet. Circulation 48:514–518
Ranganathan N, Silver MD, Robinson TL, Wilson JK (1976) Idiopathic prolapse mitral leaflet syndrome: Angiographic clinical correlations. Circulation 54:707–716
Smith ER, Frazer DB, Purdy JW, Anderson RN (1977) Angiographic diagnosis of mitral valve prolapse: Correlation with echocardiography. Am J Cardiol 40:165–170
Brundage BH, Lipton MJ, Herfkens RJ, Berninger WH, Redington RW, Chatterjee K, Carlsson E (1980) Detection of patent coronary bypass grafts by computed tomography. A preliminary report. Circulation 61:826–831
Ritmann EL, Harris LD, Kinsey JH, Robbs RA (1980) Computed tomographic imaging of the heart: The dynamic spatial reconstructor. Radiol Clin North Am 18:547–556
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Baltaxe, H.A. Imaging of the left ventricle in patients with ischemic heart disease: Role of the contrast angiogram. Cardiovasc Intervent Radiol 5, 137–144 (1982). https://doi.org/10.1007/BF02552300
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DOI: https://doi.org/10.1007/BF02552300