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By A. V. G. Bruschke (auth.), S. De Lange, P. J. Hennis, D. Kettler (eds.)

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Endocarditic vegetations on the leaflets are well detected by this non-invasive approach. M and B mode ECHO provide valuable data on ventricular diameters, contractility and ejection fraction (EF). Akinesia or dyskinesia as a result of aOlte or chronic myocardial infarction are also easily detectable. 43 Radionuclide -angiography provides a practical means for serial assessnent of the status of left and right ventricular dimensions and function. The left ventricle's response to isaretric exercise can easily be quantified by these non-invasive methods and offers the possibility of monitoring the ventricular response to afterload stress.

YOCardial infarction. Chest X ray: postero anterior and lateral films shew the size and the shape of the heart (cardiothoracic ratio), atria and great vessels. The degree of vascularization of the lung fields is clearly defined and confirms clinical observations. The state of pulmonary vasculature, expressed by the size of pulmonary arteries, the degree of upper lobe blood diversion and the peripheral vascularization, give good infomation on pulmonary hypertension and suggest further invasive and/or noninvasive investigations.

Sill JC, Nugent M, Moyer TP, et al: Influence of propranolol plasma levels on hemodynamics during coronary artery bypass surgery. Anesthesiology 60:455-463, 1984 11. The Norwegian Multicenter Study Group: Timolol-induced reduction in mortali ty and reinfarction in patients survi ving acute myocardial infarction. N Engl J Med 304:801-807, 1981 12. Andersen MP, Bechsgaard P, Frederikson J, et al: Effect of alprenolol on mortality among patients with definite or suspected acute myocardial infarction: preliminary results.

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