Claudia Matei¹, Theodora Benedek², Monica Chitu¹, I. Kovacs², I. A. Sârbu-Pop², Sz. Madaras², Diana

Horga¹, Melinda Kurtinecz¹, Zsuzsanna Suciu², I. Benedek¹

¹ Emergency County Hospital Tg Mureș, Cardiology Clinic

² Medicine and  Pharmacy University Tg Mureș, Discipline of Internal Medicine 6

Objective: We  wanted to evaluate left ventricular geometry, contraction synchronism and  myocardial viability, in order to identify the target area for therapeutical intervention and  to evaluate myocardial function post revascularisation.

Methods: We  evaluated 44  post myocardial infarction patients, divided into  three  groups, according to the  treatment performed. We used computerised three-dimensional echocardiography to  asess global and  segmentar ventricular function before and  after  revas- cularisation and  transplantation, and  during the  follow-up at 3 months. For  myocardial viability dobutrex test  associated with three- dimensional echocardiography analysis was performed.

Results: We obtained an improvement of ejection fraction in all groups, with better results in stem cell transplantation group. We also evaluated the  improvement of contractility index and  decrease of dys-syncronism index in all patients.

Conclusions: Computerised three-dimensional echocardiography is an objective method to evaluate the target areas for intervention in postmyocardial patients. Revascularisation of occluded arteries improves ejection fraction and  the  quality of life.

Tags: : three-dimensional echocardiography, Myocardial Viability, stem cell transplantation