Computer Analysis of Coronary Doppler Flow Velocity

Computer Analysis of Coronary Doppler Flow Velocity

Valentina Magagnin, Maurizio Turiel, Sergio Cerutti, Luigi Delfino, Enrico Caiani
Copyright: © 2008 |Pages: 9
ISBN13: 9781599048895|ISBN10: 1599048892|EISBN13: 9781599048901
DOI: 10.4018/978-1-59904-889-5.ch038
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MLA

Magagnin, Valentina, et al. "Computer Analysis of Coronary Doppler Flow Velocity." Encyclopedia of Healthcare Information Systems, edited by Nilmini Wickramasinghe and Eliezer Geisler, IGI Global, 2008, pp. 281-289. https://doi.org/10.4018/978-1-59904-889-5.ch038

APA

Magagnin, V., Turiel, M., Cerutti, S., Delfino, L., & Caiani, E. (2008). Computer Analysis of Coronary Doppler Flow Velocity. In N. Wickramasinghe & E. Geisler (Eds.), Encyclopedia of Healthcare Information Systems (pp. 281-289). IGI Global. https://doi.org/10.4018/978-1-59904-889-5.ch038

Chicago

Magagnin, Valentina, et al. "Computer Analysis of Coronary Doppler Flow Velocity." In Encyclopedia of Healthcare Information Systems, edited by Nilmini Wickramasinghe and Eliezer Geisler, 281-289. Hershey, PA: IGI Global, 2008. https://doi.org/10.4018/978-1-59904-889-5.ch038

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Abstract

The coronary flow reserve (CFR) represents an important functional parameter to assess epicardial coronary stenosis and to evaluate the integrity of coronary microcirculation (Kern, 2000; Sadamatsu, Tashiro, Maehira, & Yamamoto, 2000). CFR can be measured, during adenosine or dipyridamole infusion, as the ratio of maximal (pharmacologically stimulated) to baseline (resting) diastolic coronary blood flow peak. Even in absence of stenosis in epicardial coronary artery, the CFR may be decreased when coronary microvascular circulation is compromised by arterial hypertension with or without left ventricular hypertrophy, diabetes mellitus, hypercholesterolemia, syndrome X, hypertrophic cardiomyopathy, and connective tissue diseases (Dimitrow, 2003; Strauer, Motz, Vogt, & Schwartzkopff, 1997). Several methods have been established for measuring CFR: invasive (intracoronary Doppler flow wire) (Caiati, Montaldo, Zedda, Bina, & Iliceto, 1999b; Lethen, Tries, Brechtken, Kersting, & Lambertz, 2003a; Lethen, Tries, Kersting, & Lambertz, 2003b), semi-invasive and scarcely feasible (transesophageal Doppler echocardiography) (Hirabayashi, Morita, Mizushige, Yamada, Ohmori, & Tanimoto, 1991; Iliceto, Marangelli, Memmola, & Rizzon, 1991; Lethen, Tries, Michel, & Lambertz, 2002; Redberg, Sobol, Chou, Malloy, Kumar, & Botvinick, 1995), or extremely expensive and scarcely available methods (PET, SPECT, MRI) (Caiati, Cioglia, Montaldo, Zedda, Rubini, & Pirisi, 1999a; Daimon, Watanabe, Yamagishi, Muro, Akioka, & Hirata, 2001; Koskenvuo, Saraste, Niemi, Knuuti, Sakuma, & Toikka, 2003; Laubenbacher, Rothley, Sitomer, Beanlands, Sawada, & Sutor, 1993; Picano, Parodi, Lattanzi, Sambuceti, Andrade, & Marzullo, 1994; Saraste, Koskenvuo, Knuuti, Toikka, Laine, & Niemi, 2001; Williams, Mullani, Jansen, & Anderson, 1994), thus their clinical use is limited (Dimitrow, 2003). In addition, PET and intracoronary Doppler flow wire involve radiation exposure, with inherent risk, environmental impact, and biohazard connected with use of ionizing testing (Picano, 2003a). In the last decade, the development of new ultrasound equipments and probes has made possible the noninvasive evaluation of coronary blood velocity by Doppler echocardiography, using a transthoracic approach. In this way, the peak diastolic coronary flow velocity reserve (CFVR) can be estimated as the ratio of the maximal (pharmacologically stimulated) to baseline (resting) diastolic coronary blood flow velocity peak measured from the Doppler tracings. Several studies have shown that peak diastolic CFVR, computed in the distal portion of the left anterior descending (LAD) coronary artery, correlates with CFR obtained by more invasive techniques. This provided a reliable and non invasive tool for the diagnosis of LAD coronary artery disease (Caiati et al., 1999b; Caiati, Montaldo, Zedda, Montisci, Ruscazio, & Lai, 1999c; Hozumi, Yoshida, Akasaka, Asami, Ogata, & Takagi, 1998; Koskenvuo et al., 2003; Saraste et al., 2001).

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