[Significance of contractile reserve in the assessment of cardiac diseases].
One of the most important question in the revascularization of patients with impaired left ventricular function caused by coronary heart disease is the proper differentiation of necrotic myocardium and the region with the possibility of functional recovery. An improving in myocardial performance causes better survival in patients undergone revascularization. Preoperative assessment of segmental or global contractile reserve as a marker of myocardial viability by various methods in suitable to predict the improvement expected after procedure. It is useful in selection of the patients in whom the restoration of coronary blood flow takes a beneficial effect in their survival and quality of life. Authors based on relevant data summarize the methods in the evaluation of contractile reserve and its usefulness in clinical decision making of various heart diseases.
Katona
A
A
II. Belgyógyászati Osztály-Kardiológia, Békés Megyei Képviseló-testület Pándy Kálmán Kórháza, Gyula.
Márk
L
L
D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology*; D006349:Heart Valve Diseases / Q000503:physiopathology*; D006801:Humans; D009200:Myocardial Contraction; D017202:Myocardial Ischemia / Q000150:complications / Q000503:physiopathology*; D013318:Stroke Volume; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000503:physiopathology*