Transthoracic coronary flow reserve at the right coronary artery stenosis




Background


The aim of our study was a Doppler assessment of coronary flow reserve (CFR) in the right coronary artery (RCA) in CAD patients with single-vessel RCA stenosis and patients without single-vessel RCA stenosis using transthoracic echocardiography.




Methods


The CFR study was performed in 67 consecutive patients (mean age 48±13 years) using ultrasound diagnostic system Vivid 7 GE Healthcare with a M3S narrow-band sector transducer within 1 week before quantitative coronary angiography (QCA). Patients with single-vessel RCA stenosis area >50% consisted group 1; patients without RCA stenosis area >50% were in group 2. The distal segment (d) of the RCA was examined from the apical long-axis position of the left ventricle in the modified two- or three-chamber view. Doppler velocity patterns were obtained without contrast enhancement in the dRCA at baseline and after intravenous dipyridamole infusion (up to 0.84 mg/kg). CFR was calculated as the ratio of hyperemic to basal peak diastolic velocity in the dRCA.




Methods


The CFR study was performed in 67 consecutive patients (mean age 48±13 years) using ultrasound diagnostic system Vivid 7 GE Healthcare with a M3S narrow-band sector transducer within 1 week before quantitative coronary angiography (QCA). Patients with single-vessel RCA stenosis area >50% consisted group 1; patients without RCA stenosis area >50% were in group 2. The distal segment (d) of the RCA was examined from the apical long-axis position of the left ventricle in the modified two- or three-chamber view. Doppler velocity patterns were obtained without contrast enhancement in the dRCA at baseline and after intravenous dipyridamole infusion (up to 0.84 mg/kg). CFR was calculated as the ratio of hyperemic to basal peak diastolic velocity in the dRCA.

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

Nov 16, 2017 | Posted by in CARDIOLOGY | Comments Off on Transthoracic coronary flow reserve at the right coronary artery stenosis

Full access? Get Clinical Tree

Get Clinical Tree app for offline access