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F Hildner

Publications and source records attributed to F Hildner.

9 recordsLinked to original sources

Lessons learned from the review of cardiac catheterization laboratories: a report from the Laboratory Survey Committee of the Society for Cardiac Angiography and Interventions.

The Laboratory Survey Committee of the Society for Cardiac Angiography and Interventions was created as a resource for physicians and administrators to provide comprehensive independent outside review services for cardiac catheterization laboratories. Since 1989, when the committee began its work, surveys of 23 catheterization laboratories have been completed. Our review of this experience identified several recurring problems among the laboratories. The purpose of this paper is to summarize our experience and highlight the lessons we learned in the hope that this information will benefit many other laboratories.

Cardiac Catheterization↗

Doppler diagnosis of valvular aortic stenosis in patients over 60 years of age.

Twenty-five consecutive elderly patients with suspected aortic stenosis underwent continuous-wave Doppler echocardiography followed by cardiac catheterization. Doppler-derived calculations of peak and mean aortic valve gradients were compared with catheterization-derived values of peak-to-peak, peak and mean gradients. The best correlation was found between Doppler- and catheterization-derived mean gradients (r = 0.89). A Doppler-derived measure of the timing of peak aortic flow velocity (modified time-to-peak velocity/modified left ventricular ejection time) successfully separated those with gradients above or below 50 mm Hg and also helped to avoid over- or underestimation of aortic valve gradients by Doppler.

Aged↗

Noninvasive cardiac evaluation (NICE) of intracardiac shunts using inhaled radioactive carbon dioxide.

A totally new, noninvasive technique is presented for the detection and analysis of left-to-right cardiac shunts. Five millicuries of oxygen 15-labeled carbon dioxide is administered by a single-breath inhalation technique. The resultant lung washout curve accurately reflects the presence or absence of a shunt. The quantitative studies are promising, but the method must be compared with standard techniques in a statistically significant series. This work is in progress.

Carbon Dioxide↗