Document Detail


The effect of graded coronary flow reduction in the left anterior descending and septal arteries on left ventricular function in the canine heart.
MedLine Citation:
PMID:  7408147     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
WE quantitatively analyzed the effect of graded left anterior descending and septal coronary flow (LAD + septal flow) reduction on left ventricular function with a left ventricular end-diastolic pressure (LVEDP) of 6 mm Hg and 12 mm Hg. We used an isolated, ejecting, canine heart preparation ( n = 8), the coronary flow of which could be controlled independently of the aortic pressure. We kept the other hemodynamic variables - heart rate, left circumflex coronary flow, right coronary flow and aortic input impendance - constant within their normal physiologic range. We considered this reduction in LAD + septal flow to be analogous to that of the most frequent lesion in ischemic heart disease. There was no plateau in the left ventricular work caused by this reduction of the regional coronary flow. Therefore, the plateau commonly reported in previous studies may be partially a result of the compensatory elevation of LVEDP, which is necessary to maintain the left ventricular work.
Authors:
Y Koiwa; T Nunokawa; N Ishide; S Isoyama; S Kitaoka; K Tamaki; S Satoh; H Suzuki; Y Shimizu; Y Kakuta; E Ino-Oka; T Takishima
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  62     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1980 Oct 
Date Detail:
Created Date:  1980-11-24     Completed Date:  1980-11-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  745-55     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Animals
Cardiac Output
Coronary Circulation*
Diastole
Dogs
Heart / anatomy & histology
Heart Septum / physiopathology*
Heart Ventricles / physiopathology*
Organ Size

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


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