Document Detail


Bidirectional function of coronary collateral channels in conscious dogs.
MedLine Citation:
PMID:  2054831     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: The aim was to investigate the bidirectional functional adequacy of collateral perfusion in conscious dogs. DESIGN: Left circumflex coronary artery (LCCA) occlusions of 1 or 2 min duration were repeated to stimulate the development of collateral perfusion to the LCCA area, and the left anterior descending coronary artery (LAD) was occluded once daily to evaluate the development of retrograde LCCA-LAD flow. SUBJECTS: 7 male mongrel dogs were used, weight 25-28 kg. MEASUREMENTS AND MAIN RESULTS: Coronary collateral flow from the LCCA to the LAD perfusion area was measured as the abrupt decrease in the LCCA flow (implanted Doppler transducer) upon release of a brief LAD occlusion. Measurements were repeated daily during the development of collaterals induced by repeated, brief occlusions of the LCCA. After 35(SD17) days of such occlusions; there was no sustained reduction in LCCA regional myocardial function during an LCCA occlusion, and reactive hyperaemic repayment following the occlusion was negligible. Before and after collateral development, the LCCA to LAD collateral flow increased from 1.1(0.2) to 8.6(5.1) cm.s-1. LAD systolic segment shortening during the LAD occlusion increased from 2.1(2.0)% (first occlusion) to 19.3(8.6)% (last occlusion). CONCLUSIONS: LAD to LCCA collaterals serve as functionally significant bidirectional perfusion conduits, and monitoring of collateral perfusion development is practical by measuring the step reduction in LCCA flow upon abrupt release of an LAD occlusion.
Authors:
M Fujita; D P McKown; M D McKown; D Franklin
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Cardiovascular research     Volume:  25     ISSN:  0008-6363     ISO Abbreviation:  Cardiovasc. Res.     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-08-01     Completed Date:  1991-08-01     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0077427     Medline TA:  Cardiovasc Res     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  58-67     Citation Subset:  IM    
Affiliation:
Dalton Research Center, University of Missouri-Columbia, MO 65211.
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MeSH Terms
Descriptor/Qualifier:
Animals
Blood Flow Velocity
Collateral Circulation / physiology*
Coronary Circulation / physiology*
Coronary Disease / etiology,  physiopathology
Dogs
Heart Rate
Male
Myocardial Reperfusion
Grant Support
ID/Acronym/Agency:
HL 32800/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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