Abstract

Abstract. The results from left ventricular cineangiography have been compared with ECG, coronary arteriographic and hemodynamic findings in 59 selected patients with coronary heart disease. All patients showed abnormal left ventricular contraction patterns; ventricular aneurysm was present in 22 patients, and ventricular akinesis in 37. All patients with aneurysm had a previous history of myocardial infarction, and there was a close correlation between the ECG pattern and the angiographic findings, while unspeciftc ECGs were commonly seen in patients with akinesis. All patients had severe coronary artery stenosis. No aneurysm was seen without occlusion of the major local artery, while the anatomical location of the arterial stenosis showed a less consistent relationship to the angiocardiographic findings in patients with akinesis. Left ventricular end‐diastolic pressures were analysed before and after left ventricular angiography and found to be elevated in most patients. No differences were found between patients with aneurysm compared with those with akinesis.

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