Maximal Myocardial Perfusion as a Measure of the Functional Significance of Coronary Artery Disease From a Pathoanatomic to a Pathophysiologic Interpretation of the Coronary Arteriogram
Coronary flow reserve is a functional measure of stenosis severity re flecting the integrated effects of its geometry including percent stenosis, absolute lumen area, length and shape. Its clinical application has been primarily qualitative in non-invasive, perfusion imaging. Measurement of coronar...
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| Format: | eBook |
| Language: | English |
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Dordrecht
Springer Netherlands
1991, 1991
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| Edition: | 1st ed. 1991 |
| Series: | Developments in Cardiovascular Medicine
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| Subjects: | |
| Online Access: | |
| Collection: | Springer Book Archives -2004 - Collection details see MPG.ReNa |
Table of Contents:
- 4.5 Prerequisites for myocardial flow assessment by videodensitometry, according to the physiology of indicator dilution theory
- 5 A Model Study to Validate Calculation of Myocardial Blood Flow by Videodensitometry
- 5.1 Introduction
- 5.2 Materials and methods
- 5.3 Results
- 5.4 Discussion
- 5.5 Conclusions
- 6 Mean Transit Time for the Assessment of Myocardial Perfusion by Videodensitometry
- 6.1 Introduction
- 6.2 Methods
- 6.3 Results
- 6.4 Discussion
- 6.5 Clinical implications and limitations
- 7 The Concept of Maximal Flow Ratio for Immediate Evaluation of PTCA Result
- 7.1 Introduction
- 7.2 Methods
- 7.3 Results
- 7.4 Discussion
- 7.5 Limitations
- 8 Reproducibility of Mean Transit Time for Maximal Myocardial Flow Assessment
- 8.1 Introduction
- 8.2 Methods
- 8.3 Results
- 8.4 Discussion
- 9 General Discussion
- 9.1 Discussion
- 9.2 Conclusions
- 9.3 Limitations
- 9.4 Spin-off and Present Applications
- 1 Introduction
- 1.1 The limited value of classical coronary arteriography to predict the physiologic significance of coronary artery stenoses
- 1.2 Coronary flow reserve
- 1.3 Maximal coronary and myocardial blood flow
- 2 Methods of Measuring Myocardial Blood Flow
- 2.1 Laboratory methods
- 2.2 Clinical methods
- 3 Application of Indicator Dilution Theory in the Investigation of the Cardiovascular System
- 3.1 History
- 3.2 The two approaches in indicator dilution theory
- 3.3 Videodensitometry and digital arteriography for flow assessment in the coronary circulation
- 4 Problems and Limitations in the Application of Videodensitometry to Assess Coronary Blood Flow and Myocardial Perfusion
- 4.1 Influence of the contrast agent on flow
- 4.2 Changes in vascular volume
- 4.3 Contrast density vs contrast concentration
- 4.4 Difficulties in determination of mean transit time due to motion and insufficient image quality
- A Is Nonionic Isotonic Iohexol the Contrast Agent of Choice for Quantitative Myocardial Videodensitometry?
- A.1 Introduction
- A.2 Methods
- A.3 Results
- A.4 Discussion
- A.5 Conclusion
- B Fitting Procedures for Time-Density Curves
- Summary