Evaluation of Myocardial Perfusion Abnormality by Profile Analysis for Digital Subtraction Angiogram

Abstract

For quantitative estimation of ischemia, ECG-synchronized digital subtrac tion angiography was performed for selective coronary arteriography. The au thors obtained sequential myocardial perfusion images at the arterial, capillary, and venous phases. Profile densitometry was performed along the cross section perpendicular to the long axis of the left ventricle to assess regional myocardial perfusion at the capillary phase quantitatively. By this densitometry, the vol umes of vascular bed perfused by the left coronary artery could be estimated, and further, nontransmural myocardial infarction could be differentiated from transmural myocardial infarction through the profile of its density curve. This method appears to be useful for the analysis of myocardial perfusion of ischemic heart disease.