Abstract
A clinical case of a patient with a history of postinfarction cardiosclerosis is presented. Multiple hemodynamically significant atherosclerotic lesions of the coronary bed were an indication for planned surgical treatment (coronary bypass surgery). The interest of this example is in the methodology for determining the degree of contractility disorder and the degree of compensation of the left ventricular myocardium by quantifying the specific contribution of a particular left ventricle site to its shock work as a whole. And also, against the background of a drug test with nitroglycerin, convincing data were obtained on the effectiveness of the increase in the reserve potential of the myocardium, which indicates the success of the planned revascularization in the basin of the anterior interventricular artery and the branch of the obtuse edge.
References
- Wijns W., Kolh P., Danchin N., Di Mario C., Falk V., Folliguet T. et al. Task Force on Myocardial Revascularisation of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Guidelines on myocardial revascularisation. Eur. Heart J. 2010; 31: 2501–55. DOI: 10.1016/j.ejcts.2010.08.019
- Gurevich M.A. Chronic ischemic (coronary) heart disease. Guide for Physicians. Moscow; 2003 (in Russ.).
- Becher H., Burns P.N. Contrast agents for echocardiography: Principles and instrumentation. In: Handbook of contrast echocardiography: left ventricular function and myocardial perfusion. Berlin: Springer. 2000; 2–45. DOI: 10.1007/978-3-642-59748-0_1
- Burakovsky V.I., Rabotnikov V.S., Kazakov E.N. State and prospects of development of surgical treatment of coronary heart disease. Russian Journal of Thoracic Surgery. 1980; 2: 13–9 (in Russ.).
- Matskeplishvili S.T., Asymbekova E.U., Ayazyan E.A., Gulyamova D.D., Kavtiashvili T.V. Topic diagnostics of coronary pathology in coronary heart disease patients by contrast stress echocardiography with dipyridamole. Cardiovascular Therapy and Prevention. 2005; 4 (5): 37–43 (in Russ.).
- Dvalishvili E.R., Chigogidze N.A., Bockeria L.A., Mel’nikov A.V., Ibragimov I.I. The specific value of the regional function of the left ventricle in assessing its overall pumping capacity as a normal pump. Bulletin of Bakoulev National Center. Cardiovascular Diseases. 2021; 22 (3): 382–90 (in Russ.). DOI: 10.24022/1810-0694- 2021-22-3-382-390
- Dvalishvili E.R., Chigogidze N.A., Boсkeria L.A., Ibragimov I.I. Successful assessment of the prospects of revascularization of the suboccluded envelope artery by quantitative calculation of segmental and general heart function. Russian Journal of Thoracic and Cardiovascular Surgery. 2021; 63 (2): 149–54 (in Russ.). DOI: 10.24022/0236-2791-2021-63-2-149-154
About the authors
- Eka R. Dvalishvili, Ultrasound Diagnostician; ORCID
- Nikolay A. Chigogidze, Cand. Med. Sci., Head of Department; ORCID
- Leo A. Bockeria, Academician of RAS, President of the Center; ORCID
- Igor’ Yu. Sigaev, Dr. Med. Sci., Professor, Head of Department; ORCID
- Mikhail M. Alshibaya, Dr. Med. Sci., Professor, Head of Department; ORCID
- Gela G. Getsadze, Radiologist