Search In this Thesis
   Search In this Thesis  
العنوان
Value of Myocardial Velocity Gradient(MVG) in Quantifying Viability in Patients with Anterior MI using Dobutamine-Stress Tissue Doppler
المؤلف
Mohamed Kamel Selim , Ghada
هيئة الاعداد
باحث / Ghada Mohamed Kamel Selim
مشرف / Ali Ramzy
مشرف / Mona Abul Soud
مشرف / Asem Fathy
مشرف / Salah Demerdash
الموضوع
Alternative Pharmacological Stress Echocardiography methods-
تاريخ النشر
2006
عدد الصفحات
213.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2006
مكان الإجازة
جامعة عين شمس - كلية الطب - Cardiovascular Medicine
الفهرس
Only 14 pages are availabe for public view

from 213

from 213

Abstract

In the setting of coronary artery disease, accounting for approximately two thirds of cases of congestive heart failure, LV dysfunction often is not the result of irreversible scar, but rather caused by impairement in function and energy use of ”still-viable” myocytes, with the opportunity for improved function if coronary blood flow is restored. Also patients with LV dysfunction who have viable myocardium are the patients at highest risk (because of the potential for ischemia), but at the same time, they benefit the most from revascularization .It is therefore important to identify viable myocardium in these patients
The purpose of this study is to quantify viability in asynergic myocardium by measuring the myocardial velocity gradient (MVG), and the incremental response to low dose dobutamine in patients who sustained anterior wall myocardial infarction.
The study included 30 patients with 3-weeks duration myocardial infarction, who were submitted to conventional echocardiography and tissue Doppler for measurement of MVG. Technitium 99m was the goldstandard test for detection of viability.