Improvement of Myocardial Perfusion

1. Front Matter

   Pages I-XVIII

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2. Acute myocardial infarction

   1. Systemic streptolysis of acute myocardial infarction

      • Rolf Schröder

      Pages 1-10

   2. Efficacy of BRL 26921, a new fibrinolytic agent for intravenous infusion, in acute myocardial infarction

      • Frank J. Van Rey, Hans J. Bonnier, Herman R. Michels, Mamdouh I. El Gamal, Hans H. Hoffmann

      Pages 11-14

   3. Coronary venous retroperfusion support of reperfusion following acute coronary occlusion

      • Samuel Meerbaum

      Pages 15-24

   4. Elevation of coronary sinus pressure improves myocardial protection

      • U. B. Brückner, U. Mittmann, W. W. Saggau

      Pages 25-27

   5. Improvement of myocardial perfusion and enhancement of washout during coronary artery occlusion by intermittent pressure controlled coronary sinus occlusions

      • D. Glogar, W. Mohl, H. Mayr, P. Schindler, F. Kaindl, E. Wolner

      Pages 28-31

   6. Medical-mechanical treatment of myocardial infarction

      • R. Erbel, T. Pop, B. Henkel, G. Schreiner, C. Steuernagel, F. Beck et al.

      Pages 32-41

   7. Autopsy findings in 14 patients with myocardial infarction treated with thrombolysis or combined thrombolysis and PTCA

      • Christoph Düber, Hans-Joachim Rumpelt, Raimund Erbel

      Pages 42-44

   8. Thrombolytic therapy in myocardial infarction: Are fibrinolytic drugs comparable, and similarly effective?

      • M. Samama, E. Szwarcer

      Pages 45-51

   9. Coronary thrombolysis with tissue-type plasminogen activator (t-PA)

      • Jürgen Meyer, Raimund Erbel, Hans Jürgen Rupprecht

      Pages 52-56

   10. Financial background of PTCR and PTCA and regional distribution of cardiac catheterization laboratories in the Federal Republic of Germany

       • R. Dörr, R. Von Essen, S. Effert, F. Ahnert, T. Tolxdorff

       Pages 57-64

3. Evaluation of improvement of myocardial perfusion

   1. Natural history of coronary artery stenosis

      • Wolf Rafflenbeul

      Pages 65-73

   2. ECG and reperfusion

      • R. Von Essen, W. Schmidt, R. Uebis, B. Edelmann, S. Effert, J. Silny et al.

      Pages 74-78

   3. Intracoronary myocardial scintigraphy during intracoronary thrombolysis

      • J. Schofer, R. Montz, D. G. Mathey, W. Bleifeld

      Pages 79-89

   4. Opposite ends of the intervention spectrum: Effects of intracoronary thrombolysis on long-term survival and LV function — Detection of early CAD by non-invasive positron imaging

      • K. L. Gould, R. W. Smalling, N. Mullani, R. A. Goldstein, F. Fuentes, G. Wong et al.

      Pages 90-103

   5. Improvement of myocardial perfusion by thrombolysis evaluation of left-ventricular function by two-dimensional echocardiography

      • K. J. Henrichs, R. Erbel, C. Steuernagel, J. Meyer

      Pages 104-111

   6. Right ventricular infarction: Echocardiography hemodynamic feature

      • H.-J. Rupprecht, R. Erbel, K.-H. Schöter, G. Schreiner, K.-L. Hennrichs, J. Meyer

      Pages 112-124

   7. Limitation of myocardial necrosis by thrombolysis during acute myocardial infarction

      • Allan S. Lew, William Ganz

      Pages 125-137

4. Percutaneous transluminal coronary angioplasty

   1. Pathophysiology

      1. Pathophysiology of transluminal angioplasty

         • Wilfredo Castaneda-Zuniga

         Pages 138-141

      2. Does angioplasty improve or accelerate atherosclerosis?

         • Peter C. Block

         Pages 142-149

This book contains the manuscripts of the majority of the papers given during the symposium 'Improvement of Myocardial Perfusion' which was held from Sep­ tember 27-29,1984 in Mainz/Germany. It has been the purpose of this meeting to focus the interest of scientifically and clinically interested cardiologists on the new developments in this field. We therefore chose the subtitle 'Medical-Mechanical -Surgical Approach'. The medical improvements in myocardial perfusion have been brought about by the application of streptokinase, urokinase and tissue-type plasminogen ac­ tivator in the first hours after the onset of an acute myocardial infarction. The different modes of application and the possibilities to evaluate and eventually to quantify the results of these treatments were addressed during the first part of the meeting. The mechanical way to improve perfusion nowadays mainly consists of the application of intracoronary balloon angioplasty. Although since 1977 the treat­ ment has become a routine method, several questions are still open such as the exact mode of action, the reaction of the vessel wall, the optimal pressure and balloon size as well as the long term results and the prevention of restenosis.

• Bypass
• Dilatation
• PTCA
• artery
• atherosclerosis
• coronary artery disease
• coronary heart disease
• drugs
• echocardiography
• electrocardiogram (ECG)
• heart
• heart disease
• hemodynamics
• myocardial infarction
• physiology

• Department of Internal Medicine II, Johannes Gutenberg University, Mainz, Federal Republic of Germany

  Jürgen Meyer, Raimund Erbel, Hans Jürgen Rupprecht

Policies and ethics