Exercise-induced human coronary collateral function: Quantitative assessment during acute coronary occlusions

被引：9

作者：

Pohl, T ^{[1
]}

Wustmann, K ^{[1
]}

Zbinden, S ^{[1
]}

Windecker, S ^{[1
]}

Mehta, H ^{[1
]}

Meier, B ^{[1
]}

Seiler, C ^{[1
]}

机构：

[1] Univ Hosp Bern, Swiss Cardiovasc Ctr Bern, CH-3010 Bern, Switzerland

来源：

CARDIOLOGY | 2003年 / 100卷 / 02期

关键词：

coronary circulation; collateral circulation; exercise; coronary artery disease; pathophysiology;

D O I：

10.1159/000073039

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In 50 patients undergoing percutaneous transluminal coronary angioplasty because of chronic angina pectoris, a collateral flow index (CFI) was determined at the start and the end of two 1-min coronary occlusions, randomly accompanied by a resting state or a 3-min dynamic handgrip exercise (DHE). CFI expressing collateral flow relative to normal antegrade flow was determined by simultaneous coronary occlusive pressure, mean aortic pressure and central venous pressure measurements. When comparing CFI without and with DHE at the start as well as at the end of balloon occlusions, a significant increase was observed with DHE (overall p < 0.0001); start: 0.18 +/- 0.12 vs. 0.22 +/- 0.13, respectively (p = 0.01); end of occlusion: 0.21 +/- 0.14 vs. 0.25 +/- 0.14, respectively (p = 0.007). Copyright (C) 2003 S. Karger AG, Basel.

引用

页码：53 / 60

页数：8

共 31 条

[1] Absolute quantitation of coronary steal induced by intravenous dipyridamole
Akinboboye, OO
Idris, O
Chou, RL
Sciacca, RR
Cannon, PJ
Bergmann, SR
[J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (01) : 109 - 116
[2] Is the development of myocardial tolerance to repeated ischemia in humans due to preconditioning or to collateral recruitment?
Billinger, M
Fleisch, M
Eberli, FR
Garachemani, A
Meier, B
Seiler, C
[J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 33 (04) : 1027 - 1035
[3] Studies on the relation of the clinical manifestations of angina pectoris, coronary thrombosis, and myocardial infarction to the pathologic findings - With particular reference to the significance of the collateral circulation
Blumgart, HL
Schlesinger, MJ
Davis, D
[J]. AMERICAN HEART JOURNAL, 1940, 19 : 1 - 91
[4] de Marchi SF, 2001, SWISS MED WKLY, V131, P351
[5] CORONARY COLLATERAL FUNCTION DURING EXERCISE
ENG, C
PATTERSON, RE
HOROWITZ, SF
HALGASH, DA
PICHARD, AD
MIDWALL, J
HERMAN, MV
GORLIN, R
[J]. CIRCULATION, 1982, 66 (02) : 309 - 316
[6] BETA-ADRENERGIC RECEPTORS ON CANINE CORONARY COLLATERAL VESSELS - CHARACTERIZATION AND FUNCTION
FELDMAN, RD
CHRISTY, JP
PAUL, ST
HARRISON, DG
[J]. AMERICAN JOURNAL OF PHYSIOLOGY, 1989, 257 (05): : H1634 - H1639
[7] VASOCONSTRICTION OF CANINE CORONARY COLLATERAL VESSELS WITH VASOPRESSIN LIMITS BLOOD-FLOW TO COLLATERAL-DEPENDENT MYOCARDIUM DURING EXERCISE
FOREMAN, BW
DAI, XZ
BACHE, RJ
[J]. CIRCULATION RESEARCH, 1991, 69 (03) : 657 - 664
[8] FUJITA M, 1994, CORONARY ARTERY DIS, V5, P525
[9] FUNCTIONAL IMPORTANCE OF THE CORONARY COLLATERALS
GREGG, DE
PATTERSON, RE
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 1980, 303 (24) : 1404 - 1406
[10] CORONARY COLLATERAL CIRCULATION - CLINICAL-SIGNIFICANCE AND INFLUENCE ON SURVIVAL IN PATIENTS WITH CORONARY-ARTERY OCCLUSION
HANSEN, JF
[J]. AMERICAN HEART JOURNAL, 1989, 117 (02) : 290 - 295

← 1 2 3 4 →