Ventriculographic patterns and hemodynamics in primary myocardial disease

Thirty-four patients with primary myocardial disease were studied and classified into three distinct types based on their left ventriculogram. Each had unique ventriculographic characteristics and findings. Type I are patients with a normal contraction pattern and an elevated left ventricular end-di...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 1973-02, Vol.47 (2), p.299-308
Main Authors: Kreulen, T H, Gorlin, R, Herman, M V
Format: Article
Language:English
Subjects:
Adult
Aged
Cardiac Output
Cardiac Volume
Cardiomyopathies - classification
Cardiomyopathies - diagnosis
Cardiomyopathies - physiopathology
Electrocardiography
Female
Heart Ventricles - physiopathology
Hemodynamics
Humans
Male
Middle Aged
Prognosis
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Summary:Thirty-four patients with primary myocardial disease were studied and classified into three distinct types based on their left ventriculogram. Each had unique ventriculographic characteristics and findings. Type I are patients with a normal contraction pattern and an elevated left ventricular end-diastolic pressure. Type II A are patients with a hypertrophic pattern without obstruction to outflow while type II B patients have outflow obstruction. Type III A are patients with generalized hypokinesis. Type III B have a similar contraction pattern but in addition show asynergy. Analysis of the right ventriculogram in seven patients showed changes paralleling those seen in the left ventricle, including asynergic patterns of contraction. The electrocardiogram and chest roentgenogram were found to be sensitive but nonspecific indicators of disease. The short-term prognosis was excellent with type I and poor with type III while type II patients had an intermediate prognosis.
ISSN:0009-7322
1524-4539
DOI:10.1161/01.cir.47.2.299