Document Detail


Tortuosity as an index of the age and diameter increase of coronary collateral vessels in patients after acute myocardial infarction.
MedLine Citation:
PMID:  623014     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A possible correlation among increase in diameter, lengthening or tortuosity and age of bypassed obstruction was investigated in coronary arterial collateral vessels. In 35 autopsy patients with a myocardial infarct of known age, as determined from clinical history and pathologic demonstration of an infarct of consistent age in the distribution of an obstructed vessel, 140 collateral vessels were identified in postmortem arteriograms and measurements made of their diameter and tortuosity. Multivariable regression analyses showed that collateral diameter and tortuosity increase with greater time after the infarction. It is suggested that identification of tortuosity in a coronary vessel may provide an indication that it functions as a collateral channel and of the degree of its dilatation and the time it has been a collateral channel. The lengthening that produces tortuosity probably arises from the same relaxation of medial tension that induces dilatation as a result of increased blood flow.
Authors:
G M Hutchins; M M Miner; B H Bulkley
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of cardiology     Volume:  41     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1978 Feb 
Date Detail:
Created Date:  1978-03-29     Completed Date:  1978-03-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  210-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Autopsy
Collateral Circulation*
Coronary Angiography
Coronary Vessels / pathology*
Humans
Middle Aged
Myocardial Infarction / pathology*
Myocardium / pathology
Organ Size
Time Factors

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


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