Clinical CardiologyVolume 32, Issue 7 p. E49-E49 Images in CardiologyFree Access Mediastinal Mass with Blood Supply from the Coronary Arteries James D. Allred M.D., James D. Allred M.D. Department of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USASearch for more papers by this authorDeval Mehta M.D., Deval Mehta M.D. Department of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USASearch for more papers by this authorKevin A. Courville M.D., Kevin A. Courville M.D. Department of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USASearch for more papers by this authorRaed Aqel M.D., F.A.C.C., Corresponding Author Raed Aqel M.D., F.A.C.C. raed.aqel@va.gov Department of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USABoshell Building 383 1530 3rd Avenue South Birmingham, AL 35 294-0012, USASearch for more papers by this author James D. Allred M.D., James D. Allred M.D. Department of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USASearch for more papers by this authorDeval Mehta M.D., Deval Mehta M.D. Department of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USASearch for more papers by this authorKevin A. Courville M.D., Kevin A. Courville M.D. Department of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USASearch for more papers by this authorRaed Aqel M.D., F.A.C.C., Corresponding Author Raed Aqel M.D., F.A.C.C. raed.aqel@va.gov Department of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USABoshell Building 383 1530 3rd Avenue South Birmingham, AL 35 294-0012, USASearch for more papers by this author First published: 05 September 2007 https://doi.org/10.1002/clc.20180Citations: 1AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume32, Issue7July 2009Pages E49-E49 ReferencesRelatedInformation

Background. The BARI 2D (Bypass Angioplasty Revascularization Investigation 2 Diabetes) trial, a National Heart, Lung, and Blood Institute-sponsored study in type 2 diabetic patients with coronary artery disease, completed patient recruitment in March 2005. This trial had a nuclear substudy in addition to many other substudies.Methods and Results. After patient enrollment, adenosine gated single photon emission computed tomography perfusion imaging is performed at years 1 and 3. The images are interpreted at the core laboratory. Among the objectives of the nuclear substudy are (1) to determine the impact of the mode of therapy on left ventricular function, extent of ischemia, and scar; (2) to determine the impact of therapy on the progression/regression of ischemia/scar and changes in left ventricular function between years 1 and 3; and (3) to determine the independent and incremental prognostic value of ischemia, scar, and left ventricular function on the primary and secondary endpoints of the trial in the entire patient population and specified subgroups such as women, elderly patients, and minorities.Conclusions. This article describes the methodology and the initial experience of the nuclear core laboratory in this large multicenter trial and provides a summary of variables that are available for future analysis by the working group.

Percutaneous balloon pericardiotomy has been used as an alternative for surgically created pericardial window mainly for the management of malignant pericardial effusions in critically ill patients. We describe a patient with purulent pericardial effusion and cardiac tamponade who was treated successfully and without complications with percutaneous balloon pericardiotomy.

The American Journal of Geriatric CardiologyVolume 14, Issue 1 p. 42-44 Live Three-Dimensional Transthoracic Echocardiographic Demonstration of Coronary Artery to Pulmonary Artery Fistula Deval Mehta MD, Deval Mehta MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this authorNavin C. Nanda MD, Navin C. Nanda MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this authorSrinivas Vengala MD, Srinivas Vengala MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this authorFarhat Mehmood MD, Farhat Mehmood MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this authorJames Taylor MD, James Taylor MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this author Deval Mehta MD, Deval Mehta MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this authorNavin C. Nanda MD, Navin C. Nanda MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this authorSrinivas Vengala MD, Srinivas Vengala MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this authorFarhat Mehmood MD, Farhat Mehmood MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this authorJames Taylor MD, James Taylor MD From the Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, ALSearch for more papers by this author First published: 26 January 2007 https://doi.org/10.1111/j.1076-7460.2005.04191.xCitations: 5 Navin C. Nanda, MD, University of Alabama at Birmingham, Heart Station SW/S102, 619 19th Street, Birmingham, AL 35249E-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article.Citing Literature Volume14, Issue1Jan/Feb 2005Pages 42-44 RelatedInformation

BACKGROUND:Prior studies with first-pass radionuclide angiography (RNA) during treadmill exercise used a single-crystal (Anger) or multicrystal gamma camera and technetium 99m tracers. Motion correction, when done, used point sources, which limited correction to only plane movement.METHODS AND RESULTS:We examined the performance of a multiwire gamma camera (MWGC), generator-produced tantalum 178, and a novel method of motion correction during treadmill exercise testing. We studied 100 patients in whom rest and stress gated tomographic myocardial perfusion images were obtained. Eight patients were excluded because of incomplete data. There were 53 men and 39 women aged 52 +/- 12 years. The resting left ventricular (LV) ejection fraction (EF) was 61% +/- 12% by gated single photon emission computed tomography. Stress myocardial perfusion was normal in 83 patients and abnormal in 9 patients. The resting RNA EF in the upright position was 57% +/- 12% (r = 0.52, P = .0001 vs gated EF). At peak exercise, the EF by MWGC was 60% +/- 26% if uncorrected and 69% +/- 13% after motion correction. Among the 80 patients with normal perfusion and normal resting EF by gated single photon emission computed tomography, a normal response to exercise was seen in 52 (63%) without motion correction and 74 (89%) with motion correction (P < .05).CONCLUSION:Assessment of LV function is feasible with MWGC. The motion-corrected images significantly improved the results.

Background. The purpose of this study was to generate right ventricular (RV) pressure-volume loops (PVLs) from time-activity curves obtained by first-pass radionuclide angiography (RNA) and RV pressures obtained by right heart catheterization.Methods and Results. Short-lived tantalum 178 was used to obtain first-pass RNA at baseline (n = 31), after nitroglycerin (n = 5), or after the conclusion of cardiac catheterization (n = 13). From the radionuclide-derived RV ejection fraction and thermodilution stroke volume, the RV end-diastolic volume and end-systolic volume were measured. Special proprietary software was developed and used to integrate the pressure and the RNA data. The mean heart rate was 80 +/- 17 beats/min; RV ejection fraction, 39% +/- 12%; RV end-diastolic volume, 217 +/- 79 mL; RV end-systolic volume, 142 +/- 74 mL; and RV end-diastolic pressure, 10 7 mm Hg. The RV PVLs were of high quality and reproducible.Conclusions. This study provides proof of concept of the feasibility of generating RV PVL; the short half-life (10 minutes) and low energy (59 keV) of Ta-178 allow the generation of multiple loops at low radiation exposure. Such studies could be performed at the bedside and provide a wealth of information that may have clinical and research merits.