Читать книгу Interventional Cardiology - Группа авторов - Страница 112

Knowledge of ventricular function is essential to interpret the clinical relevance of coronary disease and planning appropriate treatment. Many patients have a contemporary assessment of left ventricular function by non‐invasive testing, which provides similar or superior definition of the left ventricular cavity volume and global and regional wall motion, with the advantage that most of them can also dynamically study wall thickness and tissue characteristics (echocardiography, magnetic resonance imaging, nuclear imaging) when attending for coronary angiography [1]. These modalities provide more information on the function and morphology of the left ventricle than conventional ventriculography and can obviate the need for further assessment. Ventriculography should be performed in the catheter laboratory if left ventricular function has not been assessed recently. The RAO view is standard, although an additional LAO view could be considered if assessment of the postero‐lateral wall, usually supplied by the circumflex, is likely to influence management.