Central Diastolic Blood Pressure Is Associated With the Degree of Coronary Collateral Development

被引：4

作者：

Ege, Meltem Refiker ^{[1
]}

Zorlu, Ali ^{[2
]}

Yilmaz, Mehmet Birhan ^{[3
]}

Acikgoz, Savas ^{[4
]}

Tandogan, Izzet ^{[3
]}

Cinar, Ziynet ^{[5
]}

机构：

[1] Koru Hosp, Clin Cardiol, Ankara, Turkey

[2] Private Malatya Hosp, Clin Cardiol, Malatya, Turkey

[3] Sivas Cumhuriyet Univ, Sch Med, Dept Cardiol, Sivas, Turkey

[4] Kavaklidere Umut Hosp, Clin Cardiol, Ankara, Turkey

[5] Sivas Cumhuriyet Univ, Sch Med, Dept Biostat, Sivas, Turkey

来源：

ANGIOLOGY | 2013年 / 64卷 / 07期

关键词：

coronary collateral development; central diastolic blood pressure; Gensini score; ARTERY-DISEASE; SYSTEMIC HYPERTENSION; FLOW; PATHOPHYSIOLOGY; DETERMINANTS; CIRCULATION; ANGIOGRAPHY; STIFFNESS; SEVERITY; INDEXES;

D O I：

10.1177/0003319712469276

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Coronary collaterals (CCs) serve as alternative conduits for blood flow in obstructive coronary artery disease. We investigated the association of various components of blood pressure (BP) parameters with the the degree of coronary collateralization. Patients (n = 245) who underwent coronary angiography were included. Intraarterial BP in the ascending aorta was determined using a standard fluid-filled system. Readings of the conventional peripheral pressure were measured using a manual sphygmomanometer. All blood samples were drawn at admission, before coronary angiography. A total of 65 patients were found to have adequate CC development. Central diastolic BP and peripheral diastolic BP were found to be lower in the group with adequate CC. In multivariate logistic regression model, central diastolic BP and Gensini score were found to be independent predictors of adequate CC. In conclusion, low central diastolic BP in the case of severe coronary stenosis may be an important stimulus for adequate CC development.

引用

页码：546 / 552

页数：7

共 30 条

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