Comparison of monoplane and biplane assessment of regional left ventricular wall motion after thrombolytic therapy for acute myocardial infarction

David R. Holmes, Alfred A. Bove, Rick A. Nishimura, Dale G. Gehring, James H. Chesebro, Robert M. Owen, Hugh C. Smith

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Regional left ventricular (LV) function was assessed using serial biplane orthogonal LV anglograms recorded before and after reperfusion therapy for acute myocardial infarction (AMI) in 24 patients. Improvement in regional LV function was seen in only 5 patients after reperfusion therapy when only the right anterior oblique view was analyzed; improvement in regional wall motion was seen in 14 when biplane views were analyzed. Biplane analysis was particularly important in the 12 patients with right coronary artery occlusion, among whom the right anterior oblique view showed improvement in only 1 patient but the left anterior oblique view showed improvement In 6 patients (p <0.05). Biplane analysis is more sensitive than monoplane right anterior oblique analysis alone for detecting improvement in LV function after reperfusfon therapy for AMI. However, both views are complementary, adding information about regional function not revealed by either view alone.

Original languageEnglish (US)
Pages (from-to)793-797
Number of pages5
JournalThe American journal of cardiology
Volume59
Issue number8
DOIs
StatePublished - Apr 1 1987

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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