Acute ST elevation myocardial infarction in an adult patient with anomalous origin of the left coronary artery from the pulmonary artery.

Anomalous origin of the left coronary artery from the pulmonary artery is rare but causes myocardial ischemia and sudden death. A few patients with this anomaly can survive to adulthood without sufficient collateral coronary flow or surgical intervention. We present here a case of acute inferior myocardial infarction, which may occur due to thrombotic occlusion of the right coronary artery, in a 63-year-old woman with anomalous origin of the left coronary artery from the pulmonary artery, providing specific coronary angiographic findings.

Comparison of usefulness of the wall thickness of the left anterior descending coronary artery, determined by transthoracic echocardiography, and carotid intima-media thickness in predicting multivessel coronary artery disease.

Background: Wall thickness in the distal part of the left anterior descending coronary artery (LAD) can be measured by using two-dimensional high-resolution transthoracic echocardiography (2DHTTE). The objective of this study was to compare the diagnostic accuracy of measuring carotid intima-media thickness (IMT) and distal LAD wall thickness for prediction of multivessel coronary artery disease (MVD).

Methods: We measured wall thickness in the distal LAD using 2DHTTE and carotid IMT using B-mode ultrasound in 100 patients who subsequently underwent coronary angiography (CAG).

Automated assessment of left atrial function from time-left atrial volume curves using a novel speckle tracking imaging method.

Background: Using a novel speckle-tracking imaging method, time-left atrial (LA) volume curves (TLAVCs) can be automatically obtained. The aim of this study was to evaluate whether this method can be used for the measurement of LA function with TLAVCs.

Methods: In 10 normal subjects and 20 patients, apical 4-chamber images were obtained.

Usefulness of three-dimensional automated quantification of left ventricular mass, volume, and function by 64-slice computed tomography.

Objectives: Quantification of left ventricular (LV) mass has important prognostic implications. However, accurate measurement of LV mass has been difficult, in part because of the oblique angle at which the heart lies within the chest and the continuous movement of the heart itself. Multislice computed tomography (MSCT) allows assessment not only of coronary stenosis but LV volume, function, and mass.

Relation of early improvement in coronary flow reserve to late recovery of left ventricular function after beta-blocker therapy in patients with idiopathic dilated cardiomyopathy.

Background: Beta-blocker therapy reverses left ventricular (LV) remodeling in patients with idiopathic dilated cardiomyopathy (IDC). Improvement in coronary circulation by beta-blocker could play a role in these circumstances. This study investigated the relationship between change in coronary flow reserve (CFR), as a marker of coronary circulation, and subsequent improvement in LV ejection fraction (LVEF) at follow-up during carvedilol therapy in patients with IDC.

Usefulness of automated quantitation of regional left ventricular wall motion by a novel method of two-dimensional echocardiographic tracking.

A novel 2-dimensional (2-D) echocardiographic tracking method enables the automated tracking of displacement between 2 points of interest in echocardiographic images. The purpose of this study was to evaluate whether this 2-D tracking method could be used to measure left ventricular (LV) wall thickness and percent systolic wall thickening (%WT) in parasternal short-axis views, in comparison with conventional manual measurement, and to determine whether this system can be used to quantitatively assess regional LV wall motion in echocardiography. In 24 subjects (12 with LV wall motion abnormalities), 6 segments in the short-axis images were assessed by this method.

Measurement of coronary flow velocity reserve in the posterior descending coronary artery by contrast-enhanced transthoracic Doppler echocardiography.

Background: Although the measurement of coronary flow velocity (CFV) reserve (CFVR) in the left anterior descending coronary artery (LAD) by transthoracic Doppler echocardiography has been established, its success rate in the posterior descending coronary artery (PD) is still limited.

Objective: This study reports the feasibility and diagnostic accuracy of measuring CFVR in the PD by transthoracic Doppler echocardiography.

Methods: CFVR in both the distal LAD and the PD was measured in 151 consecutive patients before coronary angiography.

Increased release of free Fe ions in human erythrocytes during aging in the circulation.

We investigated whether free Fe ions were released in erythrocytes during aging process in the circulation. Young and senescent erythrocytes were separated from freshly drawn human blood by Percoll density gradient centrifugation. Two different methods were employed for determination of free Fe ions in erythrocytes, desferrioxamine (DFO) method and bleomycin method.