ABSTRACT
In 45 patients with coronary bypass grafts, the breath-hold interval with and that without preoxygenation was measured. Its effect on depiction of the distal graft anastomosis at electron-beam tomography was evaluated. Preoxygenation prolonged the breath-hold interval in most patients, thereby allowing greater anatomic coverage including more distal anastomoses. Preoxygenation may improve scanning of coronary bypass grafts and increase detectability of graft stenoses.
Subject(s)
Coronary Artery Bypass , Coronary Disease/diagnostic imaging , Coronary Disease/surgery , Tomography, X-Ray Computed/methods , Adult , Aged , Female , Humans , Male , Middle Aged , Oxygen/administration & dosage , Respiration , Statistics, NonparametricABSTRACT
A patient with ischemic cardiomyopathy and extremely reduced left ventricular function (left ventricular ejection fraction=0.10) presented to our institution for cardiac transplantation. Because of his worsening condition he was placed on the Novacor left ventricular assist device. During 3 months of support his left ventricular function recovered and he successfully underwent percutaneous transluminal coronary angioplasty and minimally invasive direct coronary artery bypass grafting procedures; subsequently he could be weaned from the left ventricular assist device and discharged. The patient is no longer considered for cardiac transplantation.
Subject(s)
Heart-Assist Devices , Myocardial Ischemia/therapy , Angioplasty, Balloon, Coronary , Coronary Artery Bypass , Humans , Male , Middle AgedSubject(s)
Blood Viscosity , Diet, Vegetarian , Hypertension/diet therapy , Humans , Hypertension/bloodABSTRACT
1. Blood rheology has been quantified by measuring blood and plasma viscosity, packed cell volume (PCV), erythrocyte filterability and erythrocyte aggregation in forty-eight voluntary vegetarians and compared with matched controls. 2. Results show that in vegetarians, values for PCV were lower than those in controls, leading to reduced native blood viscosity. In addition PCV-standardized blood viscosity was also decreased. This was brought about mostly by lower plasma viscosity. Erythrocyte rheology seemed to be unaltered. Stricter avoidance of animal products was associated with even lower values for these indices. 3. These observations are in agreement with the fact that other low-cardiovascular-risk groups show better than average blood fluidity. They are consistent with the hypothesis that in vitro measurements of blood rheology may provide signs of early atherosclerotic changes in vivo.
