Why the study?
Does biplane radionuclide ventriculography improve the identification of akinetic sites compared to single plane right anterior oblique projection in patients with acute myocardial infarction?
Does biplane radionuclide ventriculography improve the identification of akinetic sites compared to single plane right anterior oblique projection in patients with acute myocardial infarction?
Biplane radionuclide ventriculography is superior to single plane right anterior oblique projection for identifying akinetic sites in patients with acute myocardial infarction.
Answers are grounded in this paper and cite their sources.
Biplane ventriculography may improve akinetic site detection in acute MI; leaves open need for outcome trials before practice change.
Thirty-five patients were studied by first pass radionuclide ventriculography in both right anterior oblique and left anterior oblique projections, after an acute myocardial infarction. Left ventricular ejection fraction was measured in both obliques from the background corrected time-activity curves and the values correlated closely. Mean left ventricular ejection fraction from the two obliques correlated well with that measured from the ventricular perimeters using a biplane area-length formula. End-diastolic volume from the single plane right anterior oblique correlated with that measured using the biplane formula. Combined right and left anterior oblique projections allowed identification of akinetic sites in all patients, whereas the right anterior oblique alone failed to delineate akinetic sites in on July 15, 2023 by guest.
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Dymond et al. (1979) studied this question.
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