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Results for “Heart Aneurysm”

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At least 19 recordsLinked to original sources
PubMed1988

[A method of quantitative evaluation of left-ventricular functional reserve in patients with heart aneurysm].

Twenty-four patients with postinfarction aneurysms of the heart and 9 patients with chest pains were investigated in order to assess the value of left-ventricular reserve parameters, proposed by the authors, i. e. the ratio between the percentage of change in ejection time and diastolic elasticity in the course of isometric stress and the increment at arterial blood pressure test. These parameters are shown to be more valuable for the assessment of left-ventricular function, as compared to conventional ventriculographic and intraventricular pressure parameters, measured at rest. The changes in ejection fraction and diastolic elasticity at isometric stress are a fairly reliable signal that the resection of heart aneurysm may be contraindicated.

Adult↗
PubMed1991

[The efficacy of rehabilitative treatment in patients with a history of myocardial infarct complicated by a heart aneurysm].

Two-year follow-up of 65 patients with myocardial infarction complicated by an aneurysm of the aorta using unifactorial mathematical analysis revealed signs allowing before returning of the patients for working activity to single out groups with a reduced working capacity lasting two years after myocardial infarction. The prognosis of reduction of the working capacity in patients with a history of myocardial infarction complicated by an aneurysm of heart depended on the presence of stenocardia before or after myocardial infarction and arterial hypertension. It was established that the initial values of threshold loads (at the level of 50 Wt) were important in determining the long-term working prognosis.

Cardiac Care Facilities↗
PubMed1979

[Characteristics of the hemodynamics after an aortocoronary bypass and resection of a heart aneurysm].

Autovenous aortocoronary shunt was performed in 136 patients and resection of aneurysm of the heart in 38 patients. The immediate postoperative period was studied scrupulously in 48 patients. A significant reduction of cardiac output is observed in the first 24 hours after operation for aortocoronary shunt, which is linked with the patients' severe condition before operation, the operative trauma, completeness of revascularization, and the size of the blood flow in the shunt. Study of correlations between the most important indices of hemodynamics showed that the mean pressure in the left atrium and the diastolic pressure in the pulmonary artery may reflect the functional condition of the left ventricle in the immediate postoperative period with high significance.

Cardiac Catheterization↗
PubMed1988

[Total and segmental left-ventricular myocardial function in patients with post-infarction heart aneurysm].

A study of total and segmental myocardial hemodynamics and contractility has demonstrated a close relationship between segmental disorders and the type and site of postinfarction left-ventricular aneurysms. A direct close correlation was established between total and segmental hemodynamic disorders, excepting the left-ventricular aneurysm area. A close correlation was also demonstrated between myocardial contractility and ejection fraction parameters in three left-ventricular segments. Standardized trisegmental hemodynamic and contractility analysis is shown to reflect left-ventricular myocardial condition in patients with postinfarction cardiosclerosis and aneurysms of the heart.

Adult↗
PubMed1987

[Factors determining the success of the surgical treatment of chronic postinfarct heart aneurysm].

Evaluation of instrumental findings in relation to clinical course of the early postoperative period in 105 patients operated on for chronic postinfarction aneurysm of the heart demonstrated that regional left-ventricular contractility, particularly that of unscarred myocardial tissue, is the principal determinant of surgical success, followed by the severity of attendant coronary sclerosis and, consequently, the adequacy of the chosen surgical procedure. Preoperative congestive heart failure, indicative of disrupted left-ventricular myocardial compensatory potential, is an aggravating factor.

Animals↗
PubMed1985

[Evaluation of myocardial reserve in patients with post-infarction heart aneurysm].

The author examined 22 patients with postinfarction heart aneurysm to evaluate the myocardial reserves of the preserved myocardium with the use of the strophanthine test. The time-course of changes in the central hemodynamics, contractile function and segmental myocardial contractility of the left ventricle was evaluated. It was disclosed that the positive inotropic effect of strophanthine depends on the degree of the atherosclerotic lesions of the coronary arteries supplying blood to the zone of the preserved myocardium. In patients with postinfarction heart aneurysm and multiple demonstrable lesions of the coronary artery, administration of strophanthine brought about the deterioration of myocardial contractility of the left ventricle. No relationship was found between the initial status of the hemodynamics and the inotropic effect of strophanthine.

Adult↗
PubMed1986

Computed tomographic evaluation of morphological and functional condition of left ventricle in heart aneurysm.

Computed tomography is a valuable method for the diagnosis of post-infarction aneurysm of the left ventricle of the heart. It gives additional information concerning the morphological and functional condition of the left ventricle. The suggested method of layer-by-layer scanning improves the diagnostic efficiency of CT during examination of patients with heart aneurysm and is noninvasive. Precise individual calculation of the peak concentration of contrast medium, defined by dynamic scanning, optimises the process of gated CT. CT makes it possible to study changes in cavity configuration, left ventricle wall thinning, induration and calcification of the myocardium, changes in left ventricle wall mobility, decreased thickening of the myocardium at systole and left ventricle cavity thrombosis--all changes characteristic of left ventricular aneurysm. CT provides important additional information about the condition of the inter-ventricular septum. EDV, ESV and EF data obtained using CT produce important information about the functional state of the left ventricle. Computed tomography can be used as an independent method of left ventricle aneurysm detection, especially in those institutions where more complicated investigation methods are not used and interventional cardiac procedures are not practised. Complex use of computed tomography and left ventriculography in cardiosurgical institutions makes it possible to improve significantly the diagnosis of cardiac aneurysm. Calculation of integral data about left ventricle pumping function based on CT and LVG data gives proper evaluation of the indications for operative intervention in left ventricular aneurysm.

Adult↗
PubMed1983

[Post-traumatic heart aneurysms].

On the basis of an analysis of 56 cases of posttraumatic aneurysms of the heart described in the literature and 2 personal observations the authors give a description of etiology, pathogenesis, clinical picture, diagnosis and treatment of the disease. In one case of the two personal observations the aneurysm of the heart developed following a blunt trauma of the chest and was accompanied by the appearance of coronary-left-ventricular fistulas. The patient was subjected to a resection of the aneurysm with a satisfactory remote result. In the other case the aneurysm of the heart resulted from a stab wound of the heart. The heart wound was sutured. The patient was not operated for the aneurysm of the heart.

Adult↗
PubMed1990

[Predicting postoperative acute heart failure after surgical treatment of patients with post-infarction heart aneurysm].

The clinoco-hemodynamic and angiocardiographic indices were analysed in 122 patients to determine the risk factors of postoperative development of acute cardiac insufficiency after surgery for chronic postinfarction aneurysm of the heart. The risk of the development of the complication was high in patients with the ejection fraction of the contracting part less than 38%, the stoke index below 38 ml/m2, and affection of the trunk of the left coronary artery. Other prognostically unfavourable indices are a clinical picture of cardiac asthma, a history of more than two infarctions, poor blood supply to the lateral wall of the left ventricle, total ejection fraction of less than 25%, cardiac index below 2.5 l/min/m2, and end diastolic pressure of more than 24 mm Hg. Appraisal of the risk index in marks made it possible to determine quantitatively the significance of each prognostic index, classify the patients according to the degree of the initial severity, and prognosticate the development of acute cardiac insufficiency objectively.

Acute Disease↗
PubMed1981

[Fibromyxoma of the left ventricle as a cause of heart aneurysm and recurrent thromboembolism].

Primary heart tumours are a rarity but no more an academic curiosity. When recognised they may be successfully surgically treated. A Cardiac tumour is to be suspected in thromboembolism of young people especially in the absence of cardiac symptoms. A short review of possible symptoms and diagnostic methods available in the present is given. A successfully operated case of fibromyxoma of the left ventricle with consecutive cardiac aneurysm and peripheral thromboembolism is presented. Selective coronary angiography and cine-cardioangiography were the deciding investigations. The nature of the tumour is shown by means of classical histology as with the aid of electron microscopy.

Adult↗