The altered performance of the hypertrophied and failing heart.
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Biomedical subjects
Publications and source records attributed to R F Zelis.
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A new radiographic device, based upon the analysis of scattered radiation fields, has been developed to measure myocardial dynamics. The device consists of an array of detectors arranged to monitor photons scattering from the epicardial surface. Data synthesis permits real-time dynamic displays of the epicardial surface in two and three dimensions. The system has been tested on close-chest canines. Epicardial surface displacements within the closed chest cavity can be measured to 0.1 mm (S.D.). Right or left ventricular surfaces may be monitored on a given scan. Surfaces behind or in front of outer myocardial boundaries within the direct field of view of the detectors are located with equal accuracy. Except for the use of low levels of fluoroscopic x-rays, the procedure is completely noninvasive. Radiation dose levels and component costs for the prototype system are modest. The detector system attaches to a standard fluoroscopic x-ray generator.
We found no basis for increased intercompartmental pressure in either the anterior or posterior compartments as the cause of shin splints. The pain in all 14 of the patients studied was localized to the posterior medial border of the tibia at the origin of the posterior tibial muscle, and evidence of periostitis in this area was seen in two of our patients, suggesting the possible tearing away of the posterior tibial muscle from its origin. Shin splints is a lay term which has assumed medical diagnostic significance and should be removed from common usage by more accurately localizing the focus of pain.