Abstract
Forty consecutive patients with coronary artery disease undergoing left ventricular angiography took part in a randomised double blind trial comparing a conventional contrast medium sodium meglumine iothalamate (Cardio-Conray) with the low osmolar agent iopamidol. Iopamidol produced a smaller rise in heart rate and a smaller fall in left ventricular systolic pressure, but the changes in left ventricular and diastolic pressure and maximum rate of change of pressure (dP/dt max) were not different. The numbers of extrasystoles per minute for five minutes after ventriculography were similar in both groups except for the first 15 seconds, when the number of extrasystoles was increased in the iopamidol group. The frequency and magnitude of symptoms (heat, angina, headache, nausea) were significantly different in two groups. Iopamidol caused less haemodynamic disturbance than Cardio-Conray, although the improvement is small and offers no advantage in reducing symptoms or extrasystoles.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Almén T., Aspelin P., Nilsson P. Aortic and pulmonary arterial pressure after injection of contrast media into the right atrium of the rabbit. Comparison between metrizoate, ioxaglate and iohexol. Acta Radiol Suppl. 1980;362:37–41. [PubMed] [Google Scholar]
- Almén T. Contrast agent design. Some aspects on the synthesis of water soluble contrast agents of low osmolality. J Theor Biol. 1969 Aug;24(2):216–226. doi: 10.1016/s0022-5193(69)80047-0. [DOI] [PubMed] [Google Scholar]
- Brooks W. W., Paulin S., Bing O. H., Laraia P. J. Effect of angiographic contrast agents on the mechanical performance of the isolated rat papillary muscle preparations. Invest Radiol. 1980 Nov-Dec;15(6 Suppl):S203–S207. doi: 10.1097/00004424-198011001-00045. [DOI] [PubMed] [Google Scholar]
- Cohn P. F., Horn H. R., Teichholz L. E., Kreulen T. H., Herman M. V., Gorlin R. Effects of angiographic contrast medium on left ventricular function in coronary artery disease. Comparison with static and dynamic exercise. Am J Cardiol. 1973 Jul;32(1):21–26. doi: 10.1016/s0002-9149(73)80082-7. [DOI] [PubMed] [Google Scholar]
- Cumberland D. C. Hexabrix--a new contrast medium in angiocardiography. Br Heart J. 1981 Jun;45(6):698–702. doi: 10.1136/hrt.45.6.698. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Di Donato M., Bongrani S., Cucchini F., Baldi G., Fappani A., Colla B., Visioli O. Cardiovascular effects induced by the injection of a new nonionic contrast medium (Iopamidol): experimental study in dogs. Invest Radiol. 1979 Jul-Aug;14(4):309–315. doi: 10.1097/00004424-197907000-00008. [DOI] [PubMed] [Google Scholar]
- Gerber K. H., Higgins C. B., Yuh Y. S., Koziol J. A. Regional myocardial hemodynamic and metabolic effects of ionic and nonionic contrast media in normal and ischemic states. Circulation. 1982 Jun;65(7):1307–1314. doi: 10.1161/01.cir.65.7.1307. [DOI] [PubMed] [Google Scholar]
- Gootman N., Rudolph A. M., Buckley N. M. Effects of angiographic contrast media on cardiac function. Am J Cardiol. 1970 Jan;25(1):59–65. doi: 10.1016/0002-9149(70)90815-5. [DOI] [PubMed] [Google Scholar]
- Grainger R. G. Intravascular contrast media--the past, the present and the future. Mackenzie Davidson Memorial Lecture, April 1981. Br J Radiol. 1982 Jan;55(649):1–18. doi: 10.1259/0007-1285-55-649-1. [DOI] [PubMed] [Google Scholar]
- Grainger R. G. Osmolality of intravascular radiological contrast media. Br J Radiol. 1980 Aug;53(632):739–746. doi: 10.1259/0007-1285-53-632-739. [DOI] [PubMed] [Google Scholar]
- Higgins C. B. Effects of contrast materials on left ventricular function. Invest Radiol. 1980 Nov-Dec;15(6 Suppl):S220–S231. doi: 10.1097/00004424-198011001-00048. [DOI] [PubMed] [Google Scholar]
- Molyneux A. J., Sheldon P. W., Yates D. A. A comparative trial of sodium meglumine ioxaglate (Hexabrix) and iopamidol (Niopam) for cerebral angiography. Br J Radiol. 1982 Dec;55(660):881–884. doi: 10.1259/0007-1285-55-660-881. [DOI] [PubMed] [Google Scholar]
- Partridge J. B., Robinson P. J., Turnbull C. M., Stoker J. B., Boyle R. M., Morrison G. W. Clinical cardiovascular experiences with iopamidol: a new non-ionic contrast medium. Clin Radiol. 1981 Jul;32(4):451–455. doi: 10.1016/s0009-9260(81)80301-7. [DOI] [PubMed] [Google Scholar]
- Tillmann U., Adler R., Fuchs W. A. Pain in peripheral arteriography-a comparison of a low osmolality contrast medium with a conventional compound. Br J Radiol. 1979 Feb;52(614):102–104. doi: 10.1259/0007-1285-52-614-102. [DOI] [PubMed] [Google Scholar]
