Transthoracic Doppler echocardiographic comparison of left internal mammary grafts to left anterior descending coronary artery with ungrafted right internal mammary arteries in patients with and without myocardial ischemia by dobutamine stress echocardiography

dc.contributor.authorArruda, A. M.
dc.contributor.authorPellikka, P. A.
dc.contributor.authorMahoney, D. W.
dc.contributor.authorJoseph, A.
dc.contributor.authorMathias, W.
dc.contributor.authorSeward, J. B.
dc.contributor.institutionMayo Clin & Mayo Fdn
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T12:31:12Z
dc.date.available2016-01-24T12:31:12Z
dc.date.issued2000-11-01
dc.description.abstractTo characterize Doppler flow patterns of the grafted left internal mammary artery (LIMA) in patients with and without dobutamine stress induced wall motion abnormalities in the graft distribution, we studied 29 patients who underwent coronary artery bypass surgery using LIMA grafts to the left anterior descending coronary artery (LAD). the ungrafted right internal mammary artery (RIMA) was used as a control. RIMA Doppler flow pattern was predominantly systolic in all patients. in patients without ischemia in the LAD distribution, LIMA flow was predominantly diastolic. in patients with ischemia, LIMA flow was predominantly systolic. in the grafted LIMA, a ratio of diastolic to systolic time-velocity integral of >1.5 best showed absence of ischemia in the graft distribution. in summary, characterization of the Doppler flow pattern in the internal mammary arteries is feasible. in the grafted LIMA, ratios of diastolic to systolic flow are less in patients with on ischemic response in the subtended vascular bed than in those without ischemia. (C)2000 by Excerpta Medica, Inc.en
dc.description.affiliationMayo Clin & Mayo Fdn, Div Cardiovasc Dis & Internal Med, Rochester, MN 55905 USA
dc.description.affiliationUniversidade Federal de São Paulo, Escola Paulista Med, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Med, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent919-922
dc.identifierhttp://dx.doi.org/10.1016/S0002-9149(00)01122-X
dc.identifier.citationAmerican Journal of Cardiology. New York: Excerpta Medica Inc, v. 86, n. 9, p. 919-922, 2000.
dc.identifier.doi10.1016/S0002-9149(00)01122-X
dc.identifier.issn0002-9149
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/26403
dc.identifier.wosWOS:000165096000005
dc.language.isoeng
dc.publisherExcerpta Medica Inc
dc.relation.ispartofAmerican Journal of Cardiology
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.titleTransthoracic Doppler echocardiographic comparison of left internal mammary grafts to left anterior descending coronary artery with ungrafted right internal mammary arteries in patients with and without myocardial ischemia by dobutamine stress echocardiographyen
dc.typeinfo:eu-repo/semantics/article
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