Selective Coronary Angiography with Iodamide

Abstract

The myocardial toxicity of iodamide (Jodomiron 380) in selective coronary angiography was compared with that of metrizoate (Isopaque coronar). Electrocardiographic changes, systolic blood pressure and heart rate were registered and compared in a total of 106 injections. Both contrast media produced transient changes in ST-segment and T-wave, reduced the heart rate and systolic blood pressure. Differences noted were: a more marked hypotensive effect after injection of Jodomiron into the left coronary artery, and a higher frequency of moderate electrocardio graphic changes at injection of Isopaque into the right coronary artery. Because of the small number of registrations, however, these differences were not conclusive. The diagnostic quality of examination with both contrast media was excellent.