Angiographically assessed coronary collateral circulation increases vulnerability to myocardial ischemia during vasodilator stress testing

被引:13
作者
Gliozheni, E
Picano, E
Bernardino, L
Pingitore, A
Sicari, R
Marzilli, M
机构
[1] Institute of Clinical Physiology, C.N.R., Pisa
[2] Cardiology Department, Hospital S. Bernardo, Setubal
[3] Istituto di Fisiologia Clinica, 56100 Pisa, Via Savi
关键词
D O I
10.1016/S0002-9149(97)89294-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In patients with a major coronary vessel occluded, the presence of good coronary collateral circulation increases vulnerability to myocardial ischemia induced by pharmacologic coronary vasodilation. The presence of good collaterals results in a greater frequency, severity, and extent of dipyridamole-induced regional left ventricular dysfunction, consistent with the hypothesis of angiographically assessed collaterals facilitating ''steal phenomena'' during dipyridamole-induced coronary vasodilation.
引用
收藏
页码:1419 / &
页数:7
相关论文
共 20 条
[1]   CONDITIONS FOR VASODILATOR-INDUCED CORONARY STEAL IN EXPERIMENTAL MYOCARDIAL ISCHEMIA [J].
BECKER, LC .
CIRCULATION, 1978, 57 (06) :1103-1110
[2]  
BECKER LC, 1976, J CLIN INVEST, V58, P1286
[3]   DIPYRIDAMOLE-INDUCED ST SEGMENT DEPRESSION DURING TL-201 IMAGING IN PATIENTS WITH CORONARY-ARTERY DISEASE - ANGIOGRAPHIC AND HEMODYNAMIC DETERMINANTS [J].
CHAMBERS, CE ;
BROWN, KA .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1988, 12 (01) :37-41
[4]   LIMITATION OF MYOCARDIAL-ISCHEMIA BY COLLATERAL CIRCULATION DURING SUDDEN CONTROLLED CORONARY-ARTERY OCCLUSION IN HUMAN-SUBJECTS - A PROSPECTIVE-STUDY [J].
COHEN, M ;
RENTROP, KP .
CIRCULATION, 1986, 74 (03) :469-476
[5]  
CREA F, 1989, LANCET, V1, P683
[6]   EFFECTS OF ATRIAL-PACING AND DIPYRIDAMOLE ADMINISTRATION ON CORONARY HEMODYNAMICS OF COLLATERALIZED MYOCARDIAL REGIONS IN STABLE ANGINA-PECTORIS [J].
DESERVI, S ;
FERRARIO, M ;
GHIO, S ;
ANGOLI, L ;
BRAMUCCI, E ;
ARDISSINO, D ;
SPECCHIA, G .
AMERICAN JOURNAL OF CARDIOLOGY, 1990, 65 (11) :703-708
[7]   EFFECT OF CORONARY VASODILATOR DRUGS ON RETROGRADE FLOW IN AREAS OF CHRONIC MYOCARDIAL ISCHEMIA [J].
FAM, WM ;
MCGREGOR, M .
CIRCULATION RESEARCH, 1964, 15 (04) :355-&
[8]   EFFECTS OF DIPYRIDAMOLE ON COLLATERAL FLOW AND REGIONAL MYOCARDIAL-FUNCTION IN CONSCIOUS DOGS WITH NEWLY DEVELOPED COLLATERALS [J].
FUJITA, M ;
MIKUNIYA, A ;
MCKOWN, DP ;
MCKOWN, MD ;
FRANKLIN, D .
BASIC RESEARCH IN CARDIOLOGY, 1990, 85 (02) :142-152
[9]   CORONARY STEAL IN 4 MODELS OF SINGLE OR MULTIPLE VESSEL OBSTRUCTION IN DOGS [J].
GROSS, GJ ;
WARLTIER, DC .
AMERICAN JOURNAL OF CARDIOLOGY, 1981, 48 (01) :84-92
[10]   DIPYRIDAMOLE-INDUCED DECREMENT OF FUNCTIONAL RECOVERY OF POSTISCHEMIC REPERFUSED MYOCARDIUM IN CONSCIOUS DOGS WITH WELL-DEVELOPED CORONARY COLLATERAL CIRCULATION [J].
KENNY, D ;
WYNSEN, JC ;
BROOKS, HL ;
WARLTIER, DC .
AMERICAN HEART JOURNAL, 1991, 121 (05) :1339-1347