Artigo de periódico
Efeito protetivo da hipertrofia ventricular esquerda nas oclusoes de coronaria direita
Protective effect of left ventricular hypertrophy in right coronary artery occlusions
Autor
Gomes, Marne de Freitas
Gottschall, Carlos Antonio de Mascia
Resumen
The left ventricular function parameters of group A were better than those of group B: the ratio end-diastolic pressure/systolic pressure (EDP/SP) (A: 0.108±0.036; B: 0.121±0.050; p<0.05); the end-diastolic volume index (A: 75.9±31.3ml/m2; B: 88.0±31.0ml/m2; p<0.01); the end-systolic volume index (A: 16.0±10.0ml/m2; B: 27.0 ±20.0ml/m2; p<0.001); the ejection fraction (A 78.6±10.8%; B 67.7±17.9%; p<0.001); the anteroinferior shortening (A: 43.9±10.3%; B: 35.1±12.8%; p<0.001). A higher degree of coronary tortuosity was observed in group A than in group B (78.2% and 24.1%; p<0.001) and also a more frequent absent or minimal diaphragmatic hypokinetic area (A: 80.8%; B: 54.0%; p<0.05). Conclusion - LVH reduces the effects of myocardial sequela and protects LV function when right coronary occlusion develops.