Abstract
The severity of coronary artery disease (CAD) has traditionally been evaluated by assessing coronary artery anatomy and left ventricular function during cardiac catheterization. The reduction in coronary artery blood flow caused by a particular stenosis has been inferred from its appearance on coronary arteriography.1 It is now well known that the visual estimation of coronary artery stenosis is inaccurate and poorly reproducible because of inter- and intraobserver variation. It also has been shown that the physiologic effects of the majority of coronary obstructions cannot be determined accurately by conventional angiographic appearance.2 Human coronary vascular reserve correlates poorly with percent diameter stenosis and geometry of the lesions.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Vogel RA: The radiographic assessment of coronary blood flow parameters. Circulation 1985; 72:460.
White CW, Wright CG, Doty DB, et al: Does visual interpretation of the coronary arteriogram predict the physiologic importance of a coronary stenosis? N Engl J Med 1984; 310:819.
Grossman WG: Evaluation of myocardial blood flow and metabolism, in Cardiac Catheterization and Angiography. Philadelphia, Lea & Fe-biger, 1986.
Braunwald E: Coronary blood flow and myocardial ischemia, in Braunwald E (ed) Heart Disease: A Textbook of Cardiovascular Medicine. Philadelphia, W. B. Saunders Company, 1984.
Marcus ML: Myogenic regulation of coronary blood flow, in Marcus ML (ed) The Coronary Circulation in Health and Disease. New York, McGraw-Hill, 1983.
Berne RM, Rubio R: Coronary circulation, in Berne RM (ed) Handbook of Physiology. Be-thesda, American Physiological Society, 1979.
Detar R, Bohr DF: Oxygen and vascular smooth contraction. Am J Physiol 1968; 214:241.
Marcus ML: Methods of measuring coronary blood flow, in Marcus ML (ed) The Coronary Circulation in Health and Disease. New York, McGraw-Hill, 1983.
Marcus ML, Wright CB, Doty DB, et al: Measurement of coronary velocity and reactive hyperemia in the coronary circulation of humans. Circ Res 1981; 49:877.
Cole JS, Hartley CJ: The pulsed Doppler coronary artery catheter. Circulation 1977; 56:18.
L’Abbate A, Maseri A: Xenon studies of myocardial blood flow: Theoretical, technical and practical aspects. Semin Nuclear Med 1980; 10:2.
Cohn PF: Determination of regional myocardial blood flow in patients with ischemic heart disease. Adv Cardiol 1978; 23:52.
Cannon PJ, Weiss MB, Sciacca RR: Myocardial blood flow in coronary artery disease: Studies at rest and during stress with inert gas washout techniques. Prog Cardiovasc Dis 1977; 20:95.
Engel HJ: Assessment of regional blood flow by the precordial 133xenon clearance technique, in Engel HJ (ed) The Pathophysiology of Myocardial Perfusion. Amsterdam, Elsevier, North Holland Biomedical Press, 1979.
Sapeirstein LA: Regional blood flow by fractional distribution of indicators. Am J Physiol 1958; 193:101.
Skorion DJ, Collins SM: New directions in cardiac imaging. Ann Int Med 1985; 102:795.
Schieberg HR, Phelps ME, Hoffman EJ, et al: Regional myocardial perfusion assessed with N-13 labeled ammonia and positron emission computerized axial tomography. Am J Cardiol 1979; 43:209.
Ganz W, Tamura K, Marcus JS, et al: Measurement of coronary sinus blood flow by continuous thermodilution in man. Circulation 1971; 44:181.
Klocke FJ, Wittenberg SM: Heterogeneity of coronary blood flow in human coronary artery disease and experimental myocardial infarction. Am J Cardiol 1969; 24:782.
Katz LN, Lindner E: Quantitative relation between reactive hyperemia and the myocardial ischemia which it follows. Am J Physiol 1939; 129:283.
Mosher P, Ross J Jr, McFate PA, et al: Control of coronary blood flow by an autoregulatory mechanism. Circ Res 1964; 14:250.
Epstein SE, Cannon RO, Talbot TL: Hemodynamic principles in the control of coronary blood flow. Am J Cardiol 1985; 56:4E.
Epstein SE, Talbot TL: Hemodynamic coronary tone in precipitation, exacerbation, and relief of angina pectoris. Am J Cardiol 1981; 48:797.
Gould KL, Lipscomb K, Hamilton GW: Physiologic basis for assessing critical coronary stenosis: Instantaneous flow response and regional distribution during coronary hyperemia as measures of coronary flow reserve. Am J Cardiol 1974; 33:87.
O’Neill WW, Walton JA, Bates ER, et al: Criteria for successful coronary angioplasty as assessed by alterations in coronary vasodilatory reserve. J Am Coll Cardiol 1984; 3:1382.
Wilson RF, White CW: Intracoronary papaverine: An ideal coronary vasodilator for studies of the coronary circulation in conscious humans. Circulation 1986; 73:444.
Holman BL, Cohn PF, Adams DF, et al: Regional myocardial blood flow during hyperemia induced by contrast agents in patients with coronary artery disease. Am J Cardiol 1976; 38:416.
Hoffman JIE: Maximal coronary flow and the concept of coronary vascular reserve. Circulation 1984; 70:153.
Foult JM, Nittenberg A: Dipyridamole versus intracoronary injection of contrast medium for the evaluation of coronary reserve in man: A comparative study. Cath Cardiovasc Diagn 1986; 12:304.
Lang RM, Feinstein SB, Feldman T, et al: Contract echocardiography for evaluation of myocardial perfusion: Effects of coronary angioplasty. J Am Coll Cardiol 1986; 8:232.
Wilson RF, Laughlin DE, Ackell PN, et al: Transluminal subselective measurement of coronary artery blood flow velocity and vasodilator reserve in man. Circulation 1985; 72:82.
Whiting JS, Drury JK, Pfaff JM, et al: Digital angiographic measurement of radiographic contrast material kinetics for estimation of myocardial perfusion. Circulation 1876; 73:789m.
Vogel R, LeFree M, Bates E, et al: Application of digital techniques to selective coronary arteriography: Use of myocardial contrast time to measure coronary flow reserve. Am Heart J 1984; 107:153.
Pearce R: Digital cardiac angiography gets even better. Cardiol April 1987, p 37.
Bates ER, Averon FM, Legrand V, et al: Comparative long-term effects of coronary artery bypass graft surgery and percutaneous transluminal coronary angioplasty on regional coronary flow reserve. Circulation 1985; 72:833.
Serruys PW, Zijlstra F, Reiber JNC, et al: Assessment of coronary flow reserve during angioplasty using a Doppler tip balloon catheter. Comparison with digital subtraction cineangiography. J Am Coll Cardiol 1987; 9:197A.
Marcus ML: Clinical importance of coronary flow reserve. Cardiol March 1987, p 57.
Hoffman JIE: A critical view of coronary reserve. Circulation 1987; 75 (suppl J):J-6.
Klocke FJ: Measurements of coronary blood flow and degree of stenosis: Current clinical implications and continuing uncertainties. J Am Coll Cardiol 1983; 1:31.
Gould KL, Lipscomb K: Effects of coronary stenoses on coronary flow. Am J Cardiol 1974; 34:48.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer-Verlag New York Inc.
About this chapter
Cite this chapter
Baruch, T.J.W., Kapoor, A.S., Mahrer, P.R. (1989). Coronary Blood Flow and Coronary Vascular Reserve. In: Kapoor, A.S. (eds) Interventional Cardiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3534-7_3
Download citation
DOI: https://doi.org/10.1007/978-1-4612-3534-7_3
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-8145-0
Online ISBN: 978-1-4612-3534-7
eBook Packages: Springer Book Archive