[Transthoracic Doppler echocardiography for the non-invasive assessment of coronary flow reserve--a case report].
We describe a case of a 55-year-old male with anterior myocardial infarction, treated in the acute phase with thrombolysis. Transthoracic echocardiography showed hypokinetic apical segments, ejection fraction of 55% and reduced coronary flow reserve in the left anterior descending (LAD) coronary artery. Elective coronary angiography revealed a borderline (40-50%) lesion in LAD. The patient underwent successful angioplasty of LAD with stent implantation. Non-invasive coronary flow reserve measurements were repeated 3 days, 6 weeks and 6 months after angioplasty showing continuous improvement in this parameter. The role of non-invasive echocardiographic assessment of coronary flow reserve in the selection for angioplasty and monitoring of the effects of treatment is discussed.
Sonecki
Piotr
P
Oddział Kardiologii, Wojewódzki Szpital Specjalistyczny, Czestochowa, Poland.
Ochała
Andrzej
A
Łebek
Zbigniew
Z
Gabryel
Jacek
J
Gabryel
Jolanta
J
Gabrylewicz
Bogna
B
Kardaszewicz
Piotr
P
Tendera
Michał
M
D000255:Adenosine Triphosphate / Q000494:pharmacology; D001783:Blood Flow Velocity; D003326:Coronary Circulation; D023921:Coronary Stenosis / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000503:physiopathology; D018618:Echocardiography, Doppler, Color / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000503:physiopathology; D011859:Radiography
D000255:Adenosine Triphosphate