Coronary Circulation

From basic mechanisms to clinical implications

  • Jos A. E. Spaan
  • Albert V. G. Bruschke
  • Adriana C. Gittenberger-De Groot

Part of the Developments in Cardiovascular Medicine book series (DICM, volume 79)

Table of contents

  1. Front Matter
    Pages I-XII
  2. Coronary anatomy

    1. Front Matter
      Pages 1-1
    2. Robert J. Tomanek
      Pages 3-12
    3. A. V. G. Bruschke, B. Buis
      Pages 24-31
    4. A. C. Gittenberger-De Groot, A. J. J. C. Bogers, M. M. Bartelings
      Pages 32-41
  3. Myocardial perfusion

    1. Front Matter
      Pages 43-43
    2. Jos A. E. Spaan, Isabelle Vergroesen, Jenny Dankelman, Henk Stassen
      Pages 45-58
    3. James M. Downey
      Pages 59-75
    4. Peter A. Wieringa, Henk G. Stassen, Jos A. E. Spaan
      Pages 76-87
    5. H. Tillmanns, H. Leinberger, F. J. Neumann, M. Steinhausen, N. Parekh, R. Zimmermann et al.
      Pages 88-94
    6. Robert S. Reneman, Theo Arts, Cornelis H. Augustijn, Frits W. Prinzen, Ger J. Van Der Vusse
      Pages 95-104
  4. Clinical assessment of myocardial perfusion

    1. Front Matter
      Pages 117-117
    2. Johan H. C. Reiber, Cornelis J. Kooijman, Cornelis J. Slager, Jan J. Gerbrands, Ad Den Boer, Jan Van Ommeren et al.
      Pages 119-133
    3. A. Van Der Laarse
      Pages 134-139
    4. E. E. van der Wall, E. K. J. Pauwels, A. V. G. Bruschke
      Pages 140-155
    5. X. H. Krauss, A. de Roos, S. Postema, J. Doornbos, E. E. van der Wall, A. E. van Voorthuisen et al.
      Pages 156-169
  5. Myocardial reperfusion

    1. Front Matter
      Pages 183-183
    2. T. J. C. Ruigrok, J. H. Kirkels
      Pages 185-193
    3. J. R. Kramer, S. Strikwerda, C. Kittrell, M. S. Feld
      Pages 225-234
  6. Back Matter
    Pages 235-239

About this book


Few diagnostic methods in Cardiology have heralded such revolutionary developments as the introduction of coronary arteriography. When, in the early 1960's, Dr. F. Mason Sones demonstrated that visualization of the coronary anatomy in living humans was not only feasible but sufficiently safe and reliable to be used as a clinical tool in the evaluation of patients with known or suspected ischemic heart disease, the thus far somewhat neglected area of coronary circulation became the focus of interest. Naturally, for a considerable period of time a great deal of emphasis was placed upon coronary anatomy. Simple relations between narrowing lesions, impediment to flow, and prognosis were assumed to exist. Spectacular results of surgical coronary revascularization seemed to confirm this concept. Gradually it has become evident that the pathophysiology of coronary artery disease is considerably more complex. Diagnostic methods were introduced to assess and quantify exercise-induced myocardial ischemia. At first, these tests were used mainly to achieve a more discriminative selection of candidates for coronary arteriography and the coronary arteriogram remained the gold standard. Currently, these techniques have evolved to the point where they provide valuable functional and metabolic information. They have become powerful independent tools in clinical investigations and evaluation of individual patients.


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Editors and affiliations

  • Jos A. E. Spaan
    • 1
  • Albert V. G. Bruschke
    • 2
  • Adriana C. Gittenberger-De Groot
    • 3
  1. 1.Department of Medical Physics, Faculty of MedicineUniversity of AmsterdamThe Netherlands
  2. 2.Department of CardiologyUniversity HospitalLeidenThe Netherlands
  3. 3.Laboratory for Anatomy and Embryology, Faculty of MedicineUniversity of LeidenThe Netherlands

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media B.V. 1987
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-8013-2
  • Online ISBN 978-94-009-3369-9
  • Series Print ISSN 0166-9842
  • Buy this book on publisher's site