Rechtsventrikuläre Auswurffraktion Vergleich verschiedener Methoden der Angiographie und der Äquilibrium-Radionuklidventrikulographie

Abstract

In 21 patients with various heart diseases RVEF was measured angiographically and by radionuclide ventriculography. Using biplane angiocardiography evaluation was performed by 7 different methods (Simpson’s rule, Dogde, Arcilla, Ferlinz, Duebel). Using equilibrium RNV, evaluation was performed by 9 modifications of analysis. Problems were evident to separate the right atrium from the ventricle and to define the site of the pulmonary valve. The results show that when using the various methods of angiography considerable variations of the absolute volumes occur, but least so with RVEF. When using RNV with one single enddiastolic ROI, the RVEF was much too low. By means of the enddiastolic/endsystolic Double-ROI-method a good agreement with angiography was found, with correlation coefficients up to r = 0.85. There was only a minor effect of background correction.