title: [Transthoracic Doppler echocardiography for the non-invasive assessment of coronary flow reserve--a case report].
abstract: 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.
authors.affiliation: Oddział Kardiologii, Wojewódzki Szpital Specjalistyczny, Czestochowa, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Sonecki
authors.forename: Andrzej
authors.initials: A
authors.lastname: Ochała
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Łebek
authors.forename: Jacek
authors.initials: J
authors.lastname: Gabryel
authors.forename: Jolanta
authors.initials: J
authors.lastname: Gabryel
authors.forename: Bogna
authors.initials: B
authors.lastname: Gabrylewicz
authors.forename: Piotr
authors.initials: P
authors.lastname: Kardaszewicz
authors.forename: Michał
authors.initials: M
authors.lastname: Tendera
mesh_terms: 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
chemical_list: D000255:Adenosine Triphosphate