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find Author "YINGKui" 1 results
  • Assessment of the Changes of Left Ventricular Synchrony after Left Ventricular Reconstruction Surgery with Magnetic Resonance Imaging

    ObjectiveTo investigate dyssynchrony of non-infarction areas before and after surgical ventricular reconstruction after acute myocardial infarction. MethodsTwelve patients with postinfarction ventricular aneurysm and heart failure who underwent left ventricular reconstruction surgery in Fu wai Hospital from June 1,2010 to June 31,2011 were enrolled in this study. There were 9 male and 3 female patients with their age of 53.9±7.0 years. Another 12 healthy volunteers were chosen as the control group including 10 males and 2 females with their age of 30.6±3.8 years. Magnetic resonance imaging (MRI) was examined preoperatively and within 3 months after discharge with same sequences. Tagging images were analysis by using Harmonic Phase (HARP) software to extract the data and the data were put into another software to calculate dyssynchrony index. ResultsAfter operation,left ventricular ejection fraction (LVEF) improved from 30.3%±7.7% to 43.4%±6.3% (P<0.05) and left ventricular end-systolic volume index decreased from 68.6±10.8 ml/m2 to 32.7±9.0 ml/m2 (P<0.05). However,left ventricular dyssynchrony index of non-infarction areas remained stable from 0.82±0.13 to 0.83±0.17 (P>0.05). ConclusionSurgical ventricular reconstruction can significantly improve LVEF and reduce left ventricular volume,but left ventricular synchrony index of non-infarction areas is not changed.

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