Abstract
The summary of our experimental and clinical examinations on cardiac side effects of coronary angiography is that the acute phenomena are mainly caused by physicochemi-cal properties of the contrast media [1, 2]. This seems to be true in case of the well-known hemodynamic side effects: acute cardiodepression followed by a delayed positive inotropic effect and long-lasting increase of coronary blood flow combined with reduction of coronary vascular resistance and increase of coronary venous O2-saturation. The same properties seem to be responsible for the typical electrocardiographic effects: hypervoltage combined with shift of the electrical axis of the heart, disturbance of electrical activation- and repolarization waves and dysrhythmias.
Supported by the Deutsche Forschungsgemeinschaft, SFB 89 — Kardiologie Göttingen
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© 1982 Springer-Verlag Berlin Heidelberg
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Hellige, G., Baller, D., Hoeft, A., Korb, H., Wolpers, H.G., Zipfel, J. (1982). The Importance of Electrolyte Shifts and Calcium Binding on Cardiotoxicity of Contrast Media. In: Amiel, M. (eds) Contrast Media in Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68584-2_18
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DOI: https://doi.org/10.1007/978-3-642-68584-2_18
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