Advertisement

The value of measuring myocardial perfusion in coronary artery disease

  • Albert V. G. Bruschke
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 133)

Abstract

In the vast majority of cases, the underlying cause of coronary artery disease is coronary atherosclerosis. This is essentially an asymptomatic disease process which becomes manifest when the coronary artery obstructions lead to a reduction of coronary flow and consequently myocardial ischemia. Thus, the following sequence can be reconstructed:

Keywords

Myocardial Perfusion Coronary Flow Coronary Atherosclerosis Coronary Flow Reserve Coronary Circulation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Reiber JHC, Serruys PW, Slager CJ. Quantitative coronary and left ventricular cineangiography: methodology and clinical applications. Dordrecht, The Netherlands: Martinus Nijhoff Publishers, 1986.Google Scholar
  2. 2.
    Bruschke AVG, Buis B. Quantitative angiography. Curr Opin Cardiol 1988; 3: 881–6.CrossRefGoogle Scholar
  3. 3.
    Reiber JHC. Morphologic and densitometric analysis of coronary arteries. In: Heintzen PH, Bursch JH, editors, Progress in digital angiocardiography. Dordrecht, The Netherlands: Kluwer Academic Publishers 1988: 137–58.CrossRefGoogle Scholar
  4. 4.
    Mancini GBJ. Digital coronary angiography: advantages and limitations. In: Reiber JHC, Serruys PW, editors, Quantitative coronary arteriography. Dordrecht, The Netherlands: Kluwer Academic Publishers 1991: 23–42.Google Scholar
  5. 5.
    Kirkeeide RL, Gould KL, Parsel L. Assessment of coronary stenoses by myocardial perfusion imaging during pharmacologic coronary vasodilation. VII. Validation of coronary flow reserve as a single integrated functional measure of stenosis severity reflecting all its geometric dimensions. J Am Coll Cardiol 1986; 7: 103–13.PubMedCrossRefGoogle Scholar
  6. 6.
    Wilson RF, Marcus ML, White CW. Predictions of the physiologic significance of coronary arterial lesions by quantitative lesion geometry in patients with limited coronary artery disease. Circulation 1987; 75: 723–32.PubMedCrossRefGoogle Scholar
  7. 7.
    Bruschke AVG, Padmos I, Buis B, Van Benthem A. Arteriographic evaluation of small coronary arteries. J Am Coll Cardiol 1990; 15: 784–90.PubMedCrossRefGoogle Scholar
  8. 8.
    Dole WP. Autoregulation of the coronary circulation. Prog Cardiovasc Dis 1987; 29:293–323.PubMedCrossRefGoogle Scholar
  9. 9.
    Hoffman JIE. Maximal coronary flow and the concept of coronary vascular reserve. Circulation 1984; 70:153–9.PubMedCrossRefGoogle Scholar
  10. 10.
    Hoffman JIE. Coronary flow reserve. Curr Opin Cardiol 1988; 3: 874–80.CrossRefGoogle Scholar
  11. 11.
    Guyton RA, McClenathan JH, Newman GE, Michaelis LL. Significance of subendocardial S-T segment elevation caused by coronary stenosis in the dog. Am J Cardiol 1977; 40: 373–80.PubMedCrossRefGoogle Scholar
  12. 12.
    Rouleau J, Boerboom LE, Surjadhana A, Hoffman JIE. The role of autoregulation and tissue diastolic pressures in the transmural distribution of left ventricular blood flow in anesthetized dogs. Circ Res 1979; 45: 804–15.PubMedCrossRefGoogle Scholar
  13. 13.
    Grattan MT, Hanley FL, Stevens MB, Hoffman JIE. Transmural coronary flow reserve patterns in dogs. Am J Physiol 1986; 250: H276–88.Google Scholar
  14. 14.
    Hoffman JIE. Transmural myocardial perfusion. In: Kajiya F, Klassen GA, Spaan JAE, Hoffman JIE, editors, Coronary Circulation. Tokyo: Springer-Verlag 1990: 141–52.Google Scholar
  15. 15.
    Marcus ML, Chilian WM, Kanatsuka H, Dellsperger KC, Eastham CL, Lampint KG. Understanding the coronary circulation through studies at microvascular level. Circulation 1990; 82: 1–7.PubMedCrossRefGoogle Scholar
  16. 16.
    Bruschke AVG. Coronary circulation. In: Van der Wall EE, De Roos A, editors, Magnetic resonance imaging in coronary artery disease. Dordrecht, The Netherlands: Kluwer Academic Publishers 1991: 35–48.CrossRefGoogle Scholar
  17. 17.
    Marcus ML, Wilson RF, White CW. Methods of measurement of myocardial blood flow in patients: a critical review. Circulation 1987; 76: 245–53.PubMedCrossRefGoogle Scholar
  18. 18.
    Serruys PW, Laarman GH, Reiber HC, Beatt K, Roelandt J. A comparison of two methods to measure coronary flow reserve in the setting of coronary angioplasty: intracoronary blood flow velocity measurements with a Doppler catheter, and digital subtraction cineangiography. Eur Heart J 1989; 10: 725–35.PubMedGoogle Scholar
  19. 19.
    James TN. The spectrum of diseases of small coronary arteries and their physiologic consequences. J Am Coll Cardiol 1990; 15: 763–74.PubMedCrossRefGoogle Scholar
  20. 20.
    James TN, Bruschke AVG. Seminar on small coronary artery disease. (Guest editors James TN, Bruschke AVG) Introduction. Structure and function of small coronary arteries in health and disease. J Am Coll Cardiol 1990; 15: 511–2.CrossRefGoogle Scholar
  21. 21.
    Strauer B-E. The significance of coronary reserve in clinical heart disease. J Am Coll Cardiol 1990; 15: 775–83.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1992

Authors and Affiliations

  • Albert V. G. Bruschke

There are no affiliations available

Personalised recommendations