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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1986-4-23
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pubmed:abstractText |
We studied the use of digital angiography for the quantification of regional myocardial perfusion in the dog using selective left coronary arterial injection of radiographic contrast material as a flow dilution indicator. We developed algorithms for generating time-intensity curves from regions of interest over the proximal coronary artery and the myocardium and for densitometric error correction by subtraction of the intensity curve over a small lead blocker before logarithmic transformation. The resultant myocardial time-density curves were analyzed for time from injection to peak concentration (TPC) and for exponential washout rate (k). A linear correlation was found between absolute coronary arterial blood flow and both k (slope = 0.13, r = .85) and 1/TPC (slope = 0.18, r = .85). Reproducibility of TPC and k for repeated studies was 11% and 16%. Induced hyperemia significantly improved the sensitivity to stenosis by increasing the average difference in TPC and k between regions served by normal and stenotic coronary arteries to 65% and 80%, respectively. By combining selective coronary arterial injection with the left lateral x-ray projection it was possible to avoid most overlap of regional perfusion beds in the dog. This study suggests that contrast dilution measurements made during digital coronary angiography provide a means for assessing the hemodynamic significance of stenoses and the efficacy of therapeutic interventions.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0009-7322
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
73
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
789-98
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3948375-Angiography,
pubmed-meshheading:3948375-Animals,
pubmed-meshheading:3948375-Contrast Media,
pubmed-meshheading:3948375-Coronary Circulation,
pubmed-meshheading:3948375-Coronary Disease,
pubmed-meshheading:3948375-Coronary Vessels,
pubmed-meshheading:3948375-Dipyridamole,
pubmed-meshheading:3948375-Dogs,
pubmed-meshheading:3948375-Heart,
pubmed-meshheading:3948375-Hemodynamics,
pubmed-meshheading:3948375-Injections,
pubmed-meshheading:3948375-Kinetics,
pubmed-meshheading:3948375-Perfusion,
pubmed-meshheading:3948375-Regional Blood Flow
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pubmed:year |
1986
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pubmed:articleTitle |
Digital angiographic measurement of radiographic contrast material kinetics for estimation of myocardial perfusion.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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