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At least 19 recordsLinked to original sources

[The accuracy of surface kymography following myocardial infarcts, with special reference of cardiac aneurysms (author's transl)].

Surface kymography in three planes were performed in 180 patients following myocardial infarcts, and these were compared with the results of coronary angiography and selective laevocardiography. Kymography performed for the diagnosis of cardiac aneurysms and myocardial scars is relatively accurate (53%), as shown by a comparison with the laevocardiograms. Of the aneurysms demonstrated by laevocardiography in the left ventricle (31), it was possible to show 22 (71%) kymographically. In order to achieve these results, it is necessary to examine at least three marginal contours of the left ventricle by kymography (left heart border, anterior and posterior wall). The routine use of kymography before employing invasive techniques provides useful information regarding the optimal plane of the laevocardiogram. Furthermore, it indicates the presence of myocardial disease and the need for further investigation.

Coronary Angiography↗

Radionuclide kymography for the assessment of regional myocardial wall motion.

Regional myocardial wall motion is usually evaluated qualitatively from ECG-gated end-systolic and end-diastolic blood-pool images. Radionuclide kymography, which displays a one-dimensional scintigraphic image in time, synchronized with the electrocardiogram, provides a method to quantitate this motion. The technique is analogous to M-mode ultrasound in that one dimension is displayed as a function of time, but the activity distribution is displayed in place of acoustic interfaces. The motion of regional myocardial segments can be measured from multiple kymographic projections across the cardiac blood pool, after equilibration of a radioactive tracer. Radionuclide kymography is potentially better quantitatively than gated blood-pool imaging and is not hindered by viewing windows as are single- and multiple-transducer ultrasonography. Regional wall motion determined from radionuclide kymography correlated well with that determined from contrast left ventriculography in a series of patients. Since the kymographic sweep is initiated by the R wave of the ECG and proceeds continuously throughout the cardiac cycle, the temporal sequence of regional myocardial contraction can be directly assessed and related to corresponding portions of the ECG.

Computers↗

Detection of regional cardiac wall motion abnormalities in myocardial infarction by cardiac wall kymography.

The new system of cardiac wall kymography was proposed based on the results with our modified device. The cardiac wall motion kymography taken from a portion of the precordial area was examined for its ability to detect wall motion abnormalities. Furthermore, the 3 dimensional graphic display of the cardiac wall kymogram map was attempted by computer. This new approach looks promising because of the enhanced ability to recognize cardiac wall motion abnormalities in myocardial infarction.

Heart↗

Imaging of vocal fold vibration by digital multi-plane kymography.

Digital multi-plane kymography is presented as a new method to demonstrate vocal fold vibration from digital high-speed recordings. Single lines from digital high-speed sequences of laryngoscopical examinations are concatenated to images, which are called kymograms. In order to reveal anterior-posterior (AP) modes of vibration several kymograms from different location of the glottis can be obtained from a single recording. Problems due to rotation of the endoscope or relative movements of patient or examiner can be solved by image processing algorithms specifically designed for this application. Different types of phonation onset and examples of voice disorders are given.

Algorithms↗

[The diagnostic value of kymography in aortic isthmus stenosis (author's transl)].

The value of kymography was studied in 133 patients in whom a coarctation had been demonstrated angiographically, operatively or pathologically; its value was compared with conventional radiographic examinations. The difference in pulsation between the pib notching, dilatation of the ascending aorta and increased size of the left ventricle on plain films make it possible to diagnose an haemodynamically significant coarctation without any invasive methods. In 124 haemodynamically significant coarctations (93%), the kymogram showed increased pulsation of the dilated left subclavian artery. In nine haemodynamically insignificant or mild coarctations (7%), this sign was absent. Since the radiographic signs are to some extent reversible, it is possible to evaluate the results of surgery by plain chest films and the kymogram.

Adolescent↗

Vocal fold vibrations: high-speed imaging, kymography, and acoustic analysis: a preliminary report.

OBJECTIVES: To evaluate a new analysis system, High-Speed Tool Box (H. Larsson, custom-made program for image analysis, version 1.1, Department of Logopedics and Phoniatrics, Huddinge University Hospital, Huddinge, Sweden, 1998) for studying vocal fold vibrations using a high-speed camera and to relate findings from these analyses to sound characteristics. STUDY DESIGN: A Weinberger Speedcam + 500 system (Weinberger AG, Dietikon, Switzerland) was used with a frame rate of 1,904 frames per second. Images were stored and analyzed digitally. Analysis included automatic glottal edge detection and calculation of glottal area variations, as well as kymography. These signals were compared with acoustic waveforms using the Soundswell program (Hitech Development AB, Stockholm, Sweden). METHODS: The High-Speed Tool Box was applied on two types of high-speed recordings: a diplophonic phonation and a tremor voice. Relations between glottal vibratory patterns and the sound waveform were analyzed. RESULTS: In the diplophonic phonation, the glottal area waveform, as well as the kymogram, showed a specific pattern of repetitive glottal closures, which was also seen in the acoustic waveform. In the tremor voice, fundamental frequency (F0) fluctuations in the acoustic waveform were reflected in slow variations in amplitude in the glottal area waveform. For studying details of mucosal movements during these kinds of abnormal vibrations, the glottal area waveform was particularly useful. CONCLUSIONS: Our results suggest that this combined high-speed acoustic-kymographic analysis package is a promising aid for separating and specifying different voice qualities such as diplophonia and voice tremor. Apart from clinical use, this finding should be of help for specification of the terminology of different voice qualities.

Acoustics↗