We aimed to evaluate feasibility, contrast utilization and complications of trans-radial approach comparing the left distal trans-radial artery (lt. dTRA) access versus conventional right trans-radial artery (rt. TRA) access in coronary angiography. Subjects and Methods: This study was conducted on (100) patients who underwent coronary angiography (50 patients via lt. dTRA & 50 patients via rt. TRA) and was performed in the department of cardiology, Benha University Hospital. All patients performed ECG, echocardiography, arterial doppler pre and post procedures.
Abstract Alam M. Rosenhamer G. Höglund C (Division of Cardiology, Department of Medicine I. Karolinska Institute at Södersjukhuset (South Hospital), Stockholm. Sweden). Comparability of echocardiography and chest X‐ray following myocardial infarction. In a group of 23 patients with first‐time myocardial infarction (MI) we compared the results of echocardiography and chest X‐ray as measured 1 week, 2 months, and 6 months following acute MI. Left ventricular end‐diastolic dimension (LVEDd) and left atrial (LA) dimension were measured from the echocardiogram, and the cardiac volume in ml/m 2 body surface area (BSA) was calculated from the chest X‐ray. A progressive increase in LA dimension was noticed during the 6‐month period: a significant increase after 2 months ( P < 0.001) with a further increase at 6 months compared with after 2 months ( P < 0.001). The changes in LA dimension were more pronounced in anterior and Q‐wave infarction ( P < 0.001) than in inferior and non‐Q‐wave infarction ( P < 0.01). On the other hand, LVEDd showed a less conspicuous change: a moderate increase ( P < 0.05) at 2 and 6 months, also with a more pronounced change in anterior wall and Q‐wave infarction ( P < 0.01). There was no significant concurrent change in the calculated heart volume in ml/m 2 BSA, as measured from the chest X‐ray. It is suggested that the observed changes in LA dimension reflect reduced left ventricular compliance after MI.
Abstract Displacement of the atrioventricular (AV) plane toward the cardiac apex in systole was studied quantitatively by echocardiography in 37 patients with first‐time acute myocardial infarction (MI) in order to evaluate left ventricular systolic function. The amplitude of AV plane displacement was recorded from the apex at four different sites corresponding to the septal, lateral, anterior, and posterior walls of the left ventricle from apical 4‐ and 2‐chamber views. The patients had a decreased displacement of the AV plane compared with controls which was more pronounced at the sites of infarction. The mean value of the AV plane displacement (AV mean) correlated linearly with the left ventricular (LV) ejection fraction calculated by radionuclide angiography (r = 0.87, p<0.001, SEE= 6.2). An AV mean of 10 mm or more had a high sensitivity (95%) and specificity (82%) in defining a normal ejection fraction (2 50%). A high correlation coefficient was found between LV wall motion index and the AV plane displacement. Thus, in acute MI the LV function can be assessed noninvasively using AV plane displacement.