Open AccessCoronary reserve and myocardial contractility before and after direct myocardial revascularization
Author(s) -
Yc. I. Arkhipova,
С. К. Чурина
Publication year - 2004
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2004-10-3-160-162
Subject(s) - cardiology , medicine , contractility , revascularization , coronary flow reserve , myocardial infarction , coronary artery disease
The baseline coronary blood flow and left ventricular contractility affects the results of functional tests after direct myocardial revascularization in patients with severe multivascular myocardial lesion and arterial hypertension. The overall reduction in the coronary reserve in patients with coronary heart disease (CHD) and high-grade coronary occlusions is most pronounced in patients with myocardial hypertrophy, which can cause a decrease in its functional properties before and alter direct myocardial revascularization. Some results of exercise tests, a rise in the double production in particular, may be indirectly indicative of the lowered coronary reserve in patients with CHD and arterial hypertension and be of prognostic value.