Khattri H N, Raphael M J, Sharma B, Steiner R E, Goodwin J F
Postgrad Med J. 1978 Jan;54(627):16-25. doi: 10.1136/pgmj.54.627.16.
The clinical significance of the abnormalities seen at left ventriculography in ischaemic heart disease is discussed. Aneurysms may be recognized when left ventriculography is combined with coronary arteriography to show the characteristic obliteration of the supplying artery. Localized areas of abnormal contraction seen at rest are almost certainly indicative of infarcts. Similar areas provoked by exercise or atrial pacing represent the site of acute ischaemia. The ischaemic ventricle may be recognized by abnormal response to exercise, even in the absence of angina. The abnormal response may be reversed by successful revascularization surgery.
讨论了缺血性心脏病左心室造影所见异常的临床意义。当左心室造影与冠状动脉造影相结合以显示供应动脉的特征性闭塞时，可识别出室壁瘤。静息时出现的局限性异常收缩区域几乎肯定提示梗死。运动或心房起搏诱发的类似区域代表急性缺血部位。即使在无心绞痛的情况下，缺血心室也可通过运动时的异常反应得以识别。成功的血运重建手术可逆转这种异常反应。
