[Segmental dysfunction of the left ventricle in the assessment of the myocardial component in selecting patients with ischemic heart disease for an operation on the coronary arteries]

Grud Serdechnososudistaia Khir. Nov-Dec 1993;(6):24-8.
[Article in Russian]

Abstract

Eighty-eight coronary patients were examined, 75.8% of them were exposed to multiple aortocoronary bypass surgery. Impaired left-ventricular myocardial contractile function was found in 91.6% of patients, in 60% of them reduced segmental activity was associated with compensatory hyperfunction of the intact segments. A sufficiently clear-cut correlation was revealed between reduction of left-ventricular segmental activity and involvement of the coronary bed and its reserve, as well as between ejection fraction and systolic output. Signs of latent cardiac insufficiency were detected in 42% of these patients. Compensatory hyperfunction of left-ventricular intact segments was as a rule combined with a positive assessment of patients' clinical status and intact coronary and myocardial reserve. Accurate analysis of left-ventricular segmental activity reduction including the mechanism of compensation for this reduction helps correctly select coronary patients for aortocoronary bypass surgery and adequately prepare them for this operation.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Chronic Disease
  • Coronary Artery Bypass*
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / physiopathology
  • Coronary Artery Disease / surgery
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • Myocardial Contraction*
  • Myocardial Ischemia / diagnosis
  • Myocardial Ischemia / physiopathology*
  • Myocardial Ischemia / surgery
  • Ventricular Function, Left*