Features of Information Provided
|
1. Cardiovascular Cartogram
|
 |
- Based on the patient’s
body
surface area, pressure variations etc.,a Predictive Kinetic model is
first constructed.
- Then the measured Data from the
cardiac
cycle is superimposed and mapped to obtain the Deviation Difference
between the measured and predicted haemodynamics.
- A CV-Cartogram is a special
representation of this deviation difference, that gives a trained
physician, an idea of the deviation difference and changes that may
be physiological, compensatory or pathological.
- Thus CV-Cartogram is a relationship
between the Pressure, Volume, Time, Contractility and flow. In short,
the Cardiovascular Circulatory Status
|
 |
2. Flow Turbulence
|
 |
- Flow turbulence, During Coronary
filling
provides the 3rd Dimension required for the Short Axis Slices
(SAS) reconstruction.
- SAS maps the exact origin of
turbulence
in three dimensions by associating and rendering with minute
haemodynamic changes obtained by Kinetic Modeling in the CV-Cartography
|
 |
3. Realistic Geometry Reconstruction
|
 |
|
4. Reconstruction Of Effective
Coronary Narrowing
|

 |
|
|
|
|
5. Vessels Contributing to Flow in
various regions
|
 |
|
6. Effective Coronary Narrowing
|
 |
- ECN is the net CONTRIBUTION by the
epicardial vessels on the Reduced Myocardial Blood flow
- ECN is the true Cardiac
Physiological
Effect, from an Anatomical cause
- Reduction in Myocardial Blood flow
has
more
than 50 causes, Coronary artery disease is one of them and contributes
to the extent of 70% of the problem
- Cardiovascular Cartography is not
just to
measure regional myocardial blood flow, BUT to understand the patients
cardiovascular physiology and aid in the TREATMENT to ensure better
quality of Life.
|
|
7. Arterial Compliance
|

Normal
Total Arterial Compliance |

Impaired
Arterial Compliance |
|
- Total
Arterial Compliance is the ability of the Arteries to comply with the
blood flowing through it by altering it’s elastic properties.
The
Elasticity of the Arterial system will diminish over the period of time
and become Rigid.
- This
Process is faster in some people,
due to
endothelial dysfunction - leading to Atherosclerosis.
- Arterial
compliance can be used to detect Endothelial Dysfunction in Diabetes,
Hypertension and Hyperlipidemia, etc.
|
|
8. Ventricular Compliance
|
|

Normal
Ventricular Compliance |

Impaired
Ventricular Compliance |
|
- As
the Ventricle fills with blood in time, the pressure and volume that
results from filling are determined by the compliance of the ventricle.
This is also sometimes referred to as Ventricular
“Stiffness”.
- Ventricular
Compliance is
given as
millisecond/milliliters of filled volume/mmHg change in pressure.
Besides Hypertrophy, Ventricular Compliance is impaired in some forms
of Heart Failure and Impaired Glucose Tolerance or
Uncontrolled
Diabetes.
|
|
|
|
9. Adrenergic State
|
|

Normal
Adrenergic State |

Hyper
Adrenergic Activity |
|
- Complex
Analysis of Intra-Cycle Systolic Timings are the only method to
estimate the Adrenergic State at any moment in the Clinical setting.
|
|
10. Predominance of Autonomic Nervous
System
|
 |
- ANS Predominance is an excellent
Indicator of Forced cardiac activity.
- Predominantly Sympathetic Subjects
are
prone to
Cardiac anomalies including Cardiac Sudden Death Syndrome. Sympathetic
Overdrive is an Indicator of poor prognosis.
- Predominance of Autonomic Nervous
System
can be used to understand ans-activity and treat patients accordingly.
|
|
11.
Pressure Volume Loop
|
 |
PV-Loop showing
early
PV-Loop indicating normal
PV-Loop showing early
Diastolic Dysfunction
filling and ejection
Systolic Dysfunction |
- PV-Loop
needs no explanations,
Every
Medical Student knows about it. - Now they should know that it is
possible Non-Invasively.
- Pressure
Volume Loop is the most
sensitive method to assess overall cardiac function and identify early
changes.
|
|
12.
Inter Cycle Electrophysiology
|
 |
|
- Early
and Delayed After
Depolarisation
are substrates for Arrhythmogenicity. Cardiovascular Cartography is the
only method by which the presence of EAD and DAD can be
detected.
- Arrhythmogenicity
is a major
cardiac
problem, leading to cardiac suddent death, know the arrhythmogenic
status of your patients before prescribing, as certain drugs also
trigger arrhythmia in arrhythmia prone patients.
|
|
13.
Myocardial Demand and Supply
|
 |
|
Normal
Demand
Decompensated
Demand
Demand
During Infraction |
- Myocardial
Demand, Supply and
Reserve is
the best indicator of Cardiac Ischemia
- Myocardial
Demand, Supply and
Reserve -
at rest, reactive Hypermia or stress is importaint in modern patient
management.
|
|
|
|
14.
Thrombus Formation Factor
|

Normal
TFF |

Elevated
TFF |
- Thrombus
Formation Factor (TFF)
Indicates
the Thrombogenicity. It is well known that the Turbulence and blood
viscosity plays an Important role in thrombus formation. TFF enables to
handle thromogenic patients with care.
|
|
15.
Effect of Hypertension - Hypertrophy
|

Hypertension
under good control |

Hypertension
under bad control |
- Complex
Analysis of Intra-Cycle
Timings
can NOW be used to assess the net effect of long term hypertension.
Aids in the perfect management of hypertension
|
|
16.
Ventricular Relaxibility
|

Patient
with PROLONGED
Patient with SHORTENED
V
entricular Relaxibility
Ventricular Relaxibility
|
- Ventricular
Relaxibility is a good
method
to assess patients with Thyroid Dysfunction.
|
|
17.
Total Myocardial Burden
|

Patient
with NO Myocardial Burden |

Patient
with HIGH Myocardial Burden |
- Total Myocardial Burden is the net
mechanical strain imposed on the myocardium, and is important
in determining patient’s exertion tolerance specially during
Post MI and Rehabilitation
|
|
18.
Valve Insufficiency and Orifice Area
|
|

Patient
with NORMAL Aortic Orifice Area |

Patient
with REDUCED Aortic Orifice Area |
- 3D CCG Calculates Valve orifice
area
using Gorlin Formula. Early detection of Valvular Insufficiencies are a
boon to Patients with Valvular Heart Disease.
|

Mitral
Stenosis - Pre Valvoplasty |

Mitral
Stenosis - Post Valvoplasty |
- 3D CCG Calculates Valve orifice
area
using Gorlin Formula. Early detection of Valvular Insufficiencies are a
boon to Patients with Valvular Heart Disease.
|
|