Vol 60, No 3 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28
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Transthoracic Doppler echocardiography for the non-invasive assessment of coronary flow reserve - a case report

Piotr Sonecki, Andrzej Ochała, Zbigniew Łebek, Jacek Gabryel, Jolanta Gabryel, Bogna Gabrylewicz, Piotr Kardaszewicz, Michał Tendera
Kardiol Pol 2004;60(3):247-249.
Vol 60, No 3 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28

Abstract

Abstract: We describe a case of a 55-year-old male with anterior myocardial infarction, treated in the acute phase with thrombolysis. Transthoracic echocardiography showed hypokinetic apical segments, ejection fraction of 55% and reduced coronary flow reserve in the left anterior descending (LAD) coronary artery. Elective coronary angiography revealed a borderline (40-50%) lesion in LAD. The patient underwent successful angioplasty of LAD with stent implantation. Non-invasive coronary flow reserve measurements were repeated 3 days, 6 weeks and 6 months after angioplasty showing continuous improvement in this parameter. The role of non-invasive echocardiographic assessment of coronary flow reserve in the selection for angioplasty and monitoring of the effects of treatment is discussed.

Abstract

Abstract: We describe a case of a 55-year-old male with anterior myocardial infarction, treated in the acute phase with thrombolysis. Transthoracic echocardiography showed hypokinetic apical segments, ejection fraction of 55% and reduced coronary flow reserve in the left anterior descending (LAD) coronary artery. Elective coronary angiography revealed a borderline (40-50%) lesion in LAD. The patient underwent successful angioplasty of LAD with stent implantation. Non-invasive coronary flow reserve measurements were repeated 3 days, 6 weeks and 6 months after angioplasty showing continuous improvement in this parameter. The role of non-invasive echocardiographic assessment of coronary flow reserve in the selection for angioplasty and monitoring of the effects of treatment is discussed.
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Keywords

transthoracic doppler echocardiography - coronary flow reserve

About this article
Title

Transthoracic Doppler echocardiography for the non-invasive assessment of coronary flow reserve - a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 60, No 3 (2004)

Pages

247-249

Published online

2005-12-12

Bibliographic record

Kardiol Pol 2004;60(3):247-249.

Keywords

transthoracic doppler echocardiography - coronary flow reserve

Authors

Piotr Sonecki
Andrzej Ochała
Zbigniew Łebek
Jacek Gabryel
Jolanta Gabryel
Bogna Gabrylewicz
Piotr Kardaszewicz
Michał Tendera

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