Abstract
It is well established that myocardial metabolites play a significant role in the local adjustment of coronary blood flow (5, 19). Beside others (7, 19), vasoactive adenosine has been described to be a major factor involved in the metabolic control of coronary flow. Experimental studies have demonstrated that inadequate supply of oxygen to the heart, e.g. during ischemia, leads to enhanced formation of adenosine which in turn increases coronary flow to meet the enhanced oxygen requirement (6, 11, 22). According to these results adenosine is proposed to be involved in a feed-back controlled system in which the ratio between supply and demand of oxygen is the major trigger mechanism for enhanced production of adenosine by the heart (1, 5, 25).
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Bardenheuer, H., Höfling, B., Fabry, A. (1989). Adenosine production during balloon-induced ischemia. In: Höfling, B., v. Pölnitz, A., Erdmann, E., Steinbeck, G., Strauer, B.E. (eds) Interventional Cardiology and Angiology. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-12114-6_5
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DOI: https://doi.org/10.1007/978-3-662-12114-6_5
Publisher Name: Steinkopff, Heidelberg
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