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T Fritzsch

Publications and source records attributed to T Fritzsch.

20 records · Page 2Linked to original sources

Right-heart echocontrast in the anesthetized dog after i.v. administration of a new standardized sonographic contrast agent. 2nd communication: dependence of the intensity of contrast on the interval between preparation of the suspension and its injection.

The right-ventricular echocontrast provided by 5 different concentrations of the new standardized sonographic contrast agent SH U 454 (100, 150, 200, 300 and 400 mg microparticles/ml), which consists of pure galactose microparticles, was examined in 3 anesthetized female beagle dogs (8.6-9.3 kg) in order to assess the influence of the period of time which elapsed between preparation of the suspension and its injection. Each animal was given 2 ml of an SH U 454 concentration by intravenous injection at a speed of approximately 2 ml/s immediately after preparation of the suspension and 1, 2, 3 and 5 min thereafter. Evaluation of the intensity of contrast was performed blind by two investigators working independently and using a visual scoring system (ratings 0-5) and also by a videodensitometer. The videodensitometer provided a quantitative evaluation of the maximum intensity of contrast, the duration of contrast and the area under the videodensitometer curve. The intensity of the contrast of the prepared suspension subsided at a constant rate over a period of 5 min for all the concentrations tested. However, the difference between the starting value t0min and the terminal value t5min was small. On the whole, very little difference was found over the 5-min period in the intensity of the contrast provided by any of the SH U 454 concentrations examined. Thus, for the injection the examiner has a timeframe of at least 5 min after preparation of the suspension.

Anesthesia↗

[Quantification of myocardial perfusion defects using 2-dimensional contrast echocardiography].

Ten closed-chested beagles were employed to determine whether reproducible echocontrast imaging of the myocardium could be obtained following injection of the new ultrasonic contrast medium Echocon into the aortic root, and whether myocardial perfusion defects could be successfully diagnosed by this method. The change in intensity of contrast in the myocardium was measured by videodensitometry simultaneously in the supply areas of the left anterior descending and left circumflex branches of the left coronary artery before and during occlusion of the circumflex branch by means of a balloon catheter. Injection of Echocon into the aortic root led to reproducible echocontrast imaging of the entire myocardium. The occlusion of the circumflex branch caused a significant reduction (p less than 0.01) in intensity of contrast in the supply area of the circumflex branch, whereas no differences by comparison with the starting values were identifiable in the supply area of the left anterior descending branch. The correlation factor between the sizes of the perfusion defects ascertained by echocardiography and by planimetric measurement using a pathological anatomical approach was found to be r = 0.89. The injection of Echocon into the aortic root did not induce any significant changes in the aortic or pulmonary pressure, or in heart rate. Only slight flattening of the T-waves, which never lasted longer than 15 seconds, was observed in 50% of the animals. Contrast echocardiography of the myocardium could thus contribute to the diagnosis of coronary heart disease, i.e. perfusion defects.

Animals↗