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Biomedical subjects

R O West

Publications and source records attributed to R O West.

At least 37 records · Page 2Linked to original sources

Selective coronary arteriography: arteriographic patterns in coronary heart disease.

The severity and distribution of coronary arteriographic abnormalities have been reviewed in 88 patients with clinical evidence of coronary heart disease who were studied by Sones' technique. The patients were divided into four groups: myocardial infarction without angina, myocardial infarction with angina, angina with normal resting electrocardiogram, angina with abnormal resting electrocardiogram.Arteriographic abnormalities were generally diffuse throughout the coronary circulation, and at least two vessels were involved in 84 patients. Although the frequency of lesions was similar in the four groups of patients, those with previous myocardial infarction had the highest incidence of complete obstruction. Patients with angina and a normal resting electrocardiogram showed the least severe obstructive lesions. The severity of the arteriographic abnormalities was independent of the duration of clinical symptoms, and it appears that diffuse involvement of the coronary arterial tree is usually present when symptoms develop.

Adult↗

Selective coronary arteriography.

The technique of selective coronary arteriography, as described originally by Sones, was employed in 255 patients. Successful catheterization of both coronary arteries was carried out in 88% of these patients, and in the last 100 examinations both coronary arteries were entered in 95 patients. Selective coronary arteriography is a useful diagnostic tool but is a potentially hazardous form of examination as we encountered four episodes of ventricular fibrillation in the present series.

Angiography↗