Calculation of the aortic valve gradient from the left ventricular-femoral and aortic-femoral pairs of pressure waveforms.

Accurate measurement of the transaortic gradient is important in the invasive assessment of the significance of aortic stenosis. The mean gradient obtained from simultaneous left ventricular and aortic pressure recordings is the gold standard, but requires two central catheters. We hypothesized that a gradient calculated by subtracting the aortofemoral from the ventriculofemoral gradient would reproduce the ventriculoaortic gradient.

Acquired left ventricular to right atrial intracardiac shunt after myocardial infarction: a case report and review of the literature.

A patient without a history of heart disease was seen in our institution after 3-week history of progressive weakness, dyspnea, and orthopnea. Transthoracic echocardiography demonstrated inferoposterobasal akinesis and a left ventricular to right atrial shunt through the coronary sinus, which was confirmed on cardiac catheterization. This is only the second case reported in the English-language literature documenting this rare shunt after a myocardial infarction.

The relationship of anticoagulation level and complications after successful percutaneous transluminal coronary angioplasty.

The degree of anticoagulation and its effect on the frequency of abrupt coronary artery closure, coronary ischemia, bleeding complications requiring transfusion, and death were examined in 336 patients after elective percutaneous transluminal coronary angioplasty (PTCA). All patients received a bolus of 10,000 U of heparin at the beginning of the procedure followed by a continuous infusion of 2000 U/hr. At the conclusion of the procedure the infusion was reduced to 1000 U/hr and continued for 18 to 24 hours at which time the heparin infusion was suspended to allow removal of arterial and venous access sheaths.

Hepatic and renal metabolism before and after portasystemic shunts in patients with cirrhosis.

Hepatic cirrhosis with portal hypertension and gastroesophageal hemorrhage is a disease complex that continues to be treated by surgical portasystemic shunts. Whether or not a reduction or diversion of portal blood flow to the liver adversely affects the ability of the liver to maintain fuel homeostasis via gluconeogenesis, glycogenolysis, and ketogenesis is unknown. 11 patients with biopsy-proven severe hepatic cirrhosis were studied before and after distal splenorenal or mesocaval shunts.