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July 1, 1971Heart45 citationsOpen Access

Assessment of left ventricular function by single plane cineangiographic volume analysis.

KCKanu ChatterjeeMSM SacoorGSGeorge C. Sutton

Key Result

Single plane cineangiography accurately assessed left ventricular volumes, demonstrating significantly reduced ejection fraction and ejection rate in patients with cardiomyopathy.

Key Points

  • This research aims to evaluate left ventricular function using single-plane cineangiography and analyze its efficacy compared to biplane techniques.
  • Utilized single-plane cineangiography in anteroposterior and right anterior oblique projections to measure left ventricular volumes.
  • Compared results with biplane techniques to assess agreement in volume measurements.
  • Ejection fraction and ejection rate were normal in patients with mitral stenosis and chronic overloads, but reduced in cardiomyopathy patients.
  • Left ventricular end-diastolic pressure was not sensitive for differentiating between dysfunction and normal function.

Study Design

Type

Observational

Structured PICO

Does single plane cineangiography accurately assess left ventricular volumes and function compared to biplane techniques in patients with various cardiac conditions?

P
Population
Patients with mitral stenosis, chronic compensated pressure and volume overloads, and cardiomyopathy
I
Intervention
Single plane cineangiography (anteroposterior or right anterior oblique projection)
C
Comparator
Biplane techniques (reported by others)
O
Outcome
Left ventricular volumes, ejection fraction, and ejection ratesurrogate

Single plane cineangiography is an effective method for determining left ventricular volumes and function, demonstrating that ejection fraction and rate are more sensitive indicators of LV dysfunction than end-diastolic pressure.

Abstract

Single plane cineangiography, either in the anteroposterior or in the right anterior oblique pro- jection, can be used to determine left ventricular volumes. Volumes so obtained showed good agreement with those reported by others using biplane techniques. Ejection fraction and ejection rate derived from such volumes were normal in patients with mitral stenosis and with chronic compensated pressure and volume overloads, but were significantly reduced in patients with cardiomyopathy. Unlike ejection fraction and ejection rate, left ventricular end-diastolic pressure was not found to be a sensitive index for differentiating patients with and without left ventricular dysfunction.

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Cite This Study

Chatterjee et al. (1971) conducted an observational in Left ventricular dysfunction. Single plane cineangiography vs. Biplane techniques was evaluated on Left ventricular volumes, ejection fraction, and ejection rate. Single plane cineangiography accurately assessed left ventricular volumes, demonstrating significantly reduced ejection fraction and ejection rate in patients with cardiomyopathy.

synapsesocial.com/papers/6a051109fba2ba61ab55fa5ehttps://doi.org/10.1136/hrt.33.4.565
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