Heart volume determination with phase synchronization in normal subjects and postinfarct patients

The authors investigated the influence of the systole-and-dyastole cycle upon the cardiac volume measured radiologically with ECG phase synchronization in prone subjects. Measurements were made in 30 healthy subjects and 27 patients with a history of myocardial infarction, all of them ambulatory. As expected, the mean cardiac volume relative to body surface was greater in postinfarct patients than in normal subjects to a high degree of statistical significance. Conversely, the differences between end-systolic and end-diastolic cardiac volumes fell short of statistical significance both in healthy subjects and in postinfarct patients. Accordingly, radiological measurements of cardiac volume without phase synchronization seem justified in the functional evaluation of postinfarct patients.