Summary
Systolic wall stress is the main determinant of myocardial O2 consumption in chronic clinical heart disease as well as following acute inotropic pharmacological interventions. The fundamental relationship between stress and O2 consumption may be modified by alterations in myocardial contractility and/or left ventricular function parameters; these, however, contribute to the overall energy demand by a maximum 10–15%. The therapeutic consequences in chronic heart disease — with regard to left ventricular function and myocardial energy demand — has implications for the degree of left ventricular hypertrophy and dilatation.
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References
Alpert NR (1971) Cardiac hypertrophy. Academic Press, New York London, pp 1–23
Folkow B (1982) Physiological aspects of primary hypertension. Physiol Rev 62: 347–504
Ford LE (1976) Heart size. Circ Res 39: 297–303
Hood WP (1971) Dynamics of hypertrophy in left ventricular wall of man. In: Alpert NR (ed) Cardiac hypertrophy. Academic Press, New York London, pp 445–452
Kochsiek K, Heiss HW, Tauchert M, Strauer BE (1971) Koronarreserve und Sauerstoffverbrauch bei hypertrophischer obstruktiver Cardiomyopathie. Verh Dtsch Ges Inn Med 27: 880883
Kochsiek K, Tauchert M, Cott L, Neubaur J (1970) Die Koronarreserve bei Patienten mit Aortenvitien. Verh Dtsch Ges Inn Med 76: 214–218
Linzbach AJ (1960) Heart failure from the point of view of quantitative anatomy. Am J Cardiol 5: 370–382
Linzbach AJ (1981) Structural adaptation of the heart in hypertension and the physical consequences. In: Strauer BE (ed) The heart in hypertension. Springer-Verlag, Berlin Heidelberg New York, pp 243–250
Meerson FS (1969) Hyperfunktion, Hypertrophie und Insuffizienz des Herzens. VEB Volk und Gesundheit, Berlin
Strauer BE, Tauchert M, Cott L, Kochsiek K, Bretschneider HJ (1970) Simultane Bestimmung des Sauerstoffverbrauches und der Coronardurchblutung des linken Ventrikels bei Mitral-und Aortenklappenfehlern mit einem neuen hämodynamischen Parameter und der Argon-Fremdgasmethode. Verh Dtsch Ges Inn Med 76: 217–220
Strauer BE, Brune I, Schenk H, Knoll D, Perings-E {1976} Lupus cardiomyopathy: cardiac mechanics, hemodynamics, and coronary blood flow in uncomplicated systemic lungs erythematosus. Am Heart J 92: 715–722
Strauer BE (1977 a) Die quantitative Bestimmung der Koronarreserve zur Diagnostik koronarer Durchblutungsstörungen. Internist (Berlin) 18:579–587
Strauer BE, Scherpe A (1978) Ventricular function and coronary hemodynamics after intravenous nitroglycerin in coronary artery disease. Am Heart J 95: 210–219
Strauer BE (1983) Das Hochdruckherz, 2nd ed. Springer, Berlin Heidelberg New York, pp 1184
Strauer BE (1985) Progression und Regression der Herzhypertrophie beim arteriellen Bluthochdruck. Z Kardiol [Suppl 7] 74: 171–178
Strauer BE, Klepzig M, Motz W (1986) Reversal of left ventricular and coronary hypertrophy following antihypertensive treatment. In: Kaufmann W (ed) Primary hypertension. Springer, Berlin Heidelberg New York, pp 115–125
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© 1987 Springer-Verlag Berlin Heidelberg
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Strauer, B.E. (1987). Cardiac energetics in clinical heart disease. In: Jacob, R., Just, H., Holubarsch, C. (eds) Cardiac Energetics. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-11289-2_38
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DOI: https://doi.org/10.1007/978-3-662-11289-2_38
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-662-11291-5
Online ISBN: 978-3-662-11289-2
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