[Two-dimensional echocardiographic approach to the localization of XXXX : echocardiographic, electrocardiographic, and coronary arteriographic correlations (author's transl)].

@entity1 @entity4798 @entity1188 @entity453 @entity583 @entity850
Location of @entity4798 ( @entity4798 ) demonstrated by two-dimensional echocardiography (2DE) was correlated with electrocardiographic patterns of @entity583 and with the sites of obstructive lesions in the individual coronary arteries. The left ventricular wall was displayed by phased-array 2DE in 47 @entity1 with healed @entity583 , 29 of whom underwent coronary arteriography. Segmental analysis of @entity4798 was performed on 14 segments, 10 of which were obtained by the parasternal short-axis recordings at the mitral (basal) and papillary muscle (mid) levels (each level containing the anterior septum, anterior wall, lateral wall, posterior wall, and posterior septum). The remaining 4 segments (septum, anterior wall, lateral wall, posterior wall) were obtained by the apical 2-chamber and 4-chamber recordings. @entity4798 were defined as akinesis, thinning, increased echo density, or absent systolic thickening of the left ventricular wall. All 22 @entity1 with anterior @entity1188 (Q in V1-V4) had @entity4798 in the mid anterior septum which was specific for the lesion of the left anterior descending artery (LAD). The presence or absence of the r wave in V1 could not predict the involvement of this segment. @entity4798 in the apical anterior wall and septum were observed in 21 of 22 @entity1 . The presence of Q waves in V5, V6 suggested the additional involvement of the apical posterior wall. Additional Q waves in I, aVL indicated the extension of @entity4798 from the mild anterior septum to the basal anterior septum, anterior wall, and mid anterior wall. The basal and mid lateral walls appeared normal in most @entity1 . This pattern of @entity4798 distribution was observed in 5 of 6 @entity1 with a @entity850 on the proximal LAD. All 14 @entity1 with @entity1188 (Q in II, III, aVF) had @entity4798 in the mid posterior wall and posterior septum. In contrast, 5 @entity1 with infero-posterior @entity1188 (Q in II, III, aVF + R in V1) and 6 @entity1 with posterior @entity1188 (R in V1) had @entity4798 in the mid lateral as well as the mid posterior wall without an involvement of the posterior septum. Coronary arteriography revealed that all of the 10 @entity1 with @entity1188 had a @entity850 in the right coronary artery, whereas 6 @entity1 with infero-posterior or posterior @entity1188 invariably had a @entity850 in the left circumflex coronary artery. It was concluded that 2DE provides a reliable method for detecting @entity4798 and anatomic location of @entity583 reflecting a specific @entity453 .
