Search tips
Search criteria 


Logo of brheartjLink to Publisher's site
Br Heart J. 1984 February; 51(2): 163–167.
PMCID: PMC481477

Investigation of left ventricular function by digital subtraction angiography.


Twenty five patients who had undergone conventional coronary arteriography and left ventriculography for suspected coronary artery disease had left ventriculography performed by digital subtraction angiography as outpatients; there were no complications requiring admission to hospital. A catheter was introduced percutaneously and positioned in the superior vena cava; 40-50 ml of contrast medium was injected at 16-18 ml/s. Left ventriculograms were recorded in the 30 degrees right anterior oblique projection. Diagnostic images were recorded in each case. Left ventricular wall movement was assessed as normal in nine patients, globally hypokinetic in 10, and aneurysmal in six. In each case there was agreement between the two methods. Ejection fraction varied between 17% and 78%. It is concluded that digital subtraction angiography provides a reliable assessment of overall left ventricular function and distinguishes between those patients with a potentially resectable lesion and those with global impairment of function.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (961K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Mistretta CA, Crummy AB, Strother CM. Digital angiography: a perspective. Radiology. 1981 May;139(2):273–276. [PubMed]
  • Dodge HT. Determination of left ventricular volume and mass. Radiol Clin North Am. 1971 Dec;9(3):459–467. [PubMed]
  • Kruger RA, Mistretta CA, Houk TL, Riederer SJ, Shaw CG, Goodsitt MM, Crummy AB, Zwiebel W, Lancaster JC, Rowe GG, et al. Computerized fluoroscopy in real time for noninvasive visualization of the cardiovascular system. Preliminary studies. Radiology. 1979 Jan;130(1):49–57. [PubMed]
  • Meaney TF, Weinstein MA, Buonocore E, Pavlicek W, Borkowski GP, Gallagher JH, Sufka B, MacIntyre WJ. Digital subtraction angiography of the human cardiovascular system. AJR Am J Roentgenol. 1980 Dec;135(6):1153–1160. [PubMed]
  • Ovitt TW. Intravenous angiography utilizing digital video subtraction techniques. Am J Cardiol. 1982 Apr 1;49(5):1365–1367. [PubMed]
  • Engels PH, Ludwig JW, Verhoeven LA. Left ventricle evaluation by digital video subtraction angiocardiography. Radiology. 1982 Aug;144(3):471–474. [PubMed]
  • Higgins CB, Norris SL, Gerber KH, Slutsky RA, Ashburn WL, Baily N. Quantitation of left ventricular dimensions and function by digital video subtraction angiography. Radiology. 1982 Aug;144(3):461–469. [PubMed]
  • Sasayama S, Nonogi H, Kawai C, Fujita M, Eiho S, Kuwahara M. Automated method for left ventricular volume measurement by cineventriculography with minimal doses of contrast medium. Am J Cardiol. 1981 Oct;48(4):746–753. [PubMed]
  • Nichols AB, Martin EC, Fles TP, Stugensky KM, Balancio LA, Casarella WJ, Weiss MB. Validation of the angiographic accuracy of digital left ventriculography. Am J Cardiol. 1983 Jan 1;51(1):224–230. [PubMed]
  • Tobis JM, Nalcioglu O, Johnston WD, Seibert A, Roeck W, Iseri LT, Elkayam U, Henry WL. Correlation of 10-milliliter digital subtraction ventriculograms compared with standard cineangiograms. Am Heart J. 1983 Jun;105(6):946–952. [PubMed]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group