Coronary reserve and myocardial contractility before and after direct myocardial revascularization
https://doi.org/10.18705/1607-419X-2004-10-3-160-162
Abstract
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.
About the Authors
Yc. I. Arkhipova
ГУЗ Покровская больница
Russian Federation
Russian Federation
S. K. Churina
Институт физиологии им. И.П. Павлова РАН
Russian Federation
Russian Federation
References
1. Kirklin Y.W., Naftel D.C., Blackstone E.H., Pohost G.M. Summary of a consensus consensus death and ischemic events after coronary artery hypass grafting. Circulation 1989; 79: 81-91.
2. Peduzzi P., Kamina A., Detre K. Twenty-two-year follow-up in the VA Cooperative Study at Coronary Artery Bypass Surgery for Stahle Angina. The Am J Cardiol 1998; 81 (l2): 1393-9.
3. Hosoda Y., Nukariya M., Watanabe M. et al. Late results of coronary artery bypass surgery with maximal follow-up of 7 wars: analysis of determinants affecting late survival. Cardiovascular Surgeiy 1993; 1 (4): 403-9.
4. Шумаков В.И., Остроумов Е.Н., Туреев С.И. и др. Восстановление функции жизнеспособного миокарда в течение первого года после его ретваскуляризации у бальных с ишемической кардиомиопатией. Кардиология. 1999; 39 (2): 21-6.
5. Шевченко Ю.Л., Борисов Н.А., Ардашев В.И. и др. Оценка состояния сердечно-сосудистой системы у бальных ишемической болезнью сердца после операции аортокоронарного шунтирования. Кардиология. 1994: 34 (8): 32-5.
6. Марцинкявичус А., Яблонскене Д., Уховавинис Г. И др.Отдаленные результаты аортокоронарного шунтирования у больных ишемической болезнью сердца в зависимости от тяжести поражения коронарных артерий и степени реваскуляризации миокарда. Кардиология. 1987: 27 (6): 11-4.
7. Alderman E.L., Bourassa М.G., Gohen I.S. et al. Ten-years follow-up of survival and myocardial Infarction in the randomized caronary artery surgery study. Circulation 1990; 82: 1630-46.
8. Brinal R., Shab B.A., Fric Velazquez et al. Revascularization improves survival in ischemic cardiomyopathy regardless of electrocardiographic criteria for prior small to medium myocardial infarcts. Am Heart J 2002; 143 (lss. 4): 650-8.
9. Sciagra R., Leoncini M., Canizzaro G. et al. Predicting revascularization outcome in patients with coronary artery disease and left ventricular dysfunction (data from SERMINATOR study). Am J Cardiol 2002: 89 (Iss. 12): 1369-73.
10. Шабалкин Б.В., Жбанов И.В., Минкина С.М. и др. "Болезнь" аутовенозных трансплантатов - основная причина рецидива стенокардии после операции аортокоронарного шунтирования. Грудн. и серд.-сосуд. Хирургия. 1999, 5: 20-6.
11. Marwick T.H., Zuchowski С., Lauer M.S. et al. Functional status and quality of life in patients with heart failure undergoing bypass surgery after assessment if myocardial viability. J Am Coll Cardiol 1999:33 (3): 750-8.
12. Ando H., Tanaka J., Hisahara M. et al. Effect of coronary hypass grafting onto the site of old myocardial infarction and the recovery of cardiac function. Cardiovascular surgery 1998; 6 (5): 511-9.
13. Kramer C.M., Malkowski M.S., Mankad S. et al. Magnetic resonance tagging and ecbocardiographic response to dobutamine and fractional improvement after reperfused myocardial infarction. Am Heart J 2002: 143 (Iss. 6): 1046-51.
14. Schutz R., Heusch G. The relationship between regional blood flow and contractile function in normal, ischemic, and reperfused myocardium. Basic Res Cardiol 1998: 93 (6): 455-62.
15. Camhuceti G., Parodi O., Giorgetti A. et al. Microvascular dysfunction in collateral-dependet myocardium. J Am Coll Cardiol 1995: 26 (3): 615-23.
16. Elhendy A., Modesto K.M., Mahoney D.W. et al. Prediction of mortality inpatients with left ventricular hypertrophy by clinical, exercise stress, and echocardiographic data. J Am Coll Cardiol 2003: 41 (Iss. 1): 129-35.
17. Померанцев В.П., Хоменко В.А. Уценка результатов эргометрических исследований. Кардиология 1975; 6: 57-61.
18. Vitella M., Vitella. A., Barbera S. et al. Prognostic significance of double product and inadequate double product response to maximal symptom-limited exercise stress-testing after myocardial infarction in 6296 patients treated with thrombolitic agents. GISSI - 2 Investigators, Grupo Italiano per to Studia delta Sopravvipenza nell-Inforcto Miocardico. Am Heart J 1999: 137. 443-52.
19. Peck J.J., Boersma F., di Mario C. et al. Angiographical and Doppler flow-derived parameters for assessment of coronary legion severity and Us relation to the result of exercise electrocardiography. DEBATE study group. Doppler Endpoints Baloon Angioplasty Trial Europe. Eur Heart J 2000: 21 (6): 466-74.
Review
For citations:
Arkhipova Y.I., Churina S.K. Coronary reserve and myocardial contractility before and after direct myocardial revascularization. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2004;10(3):160-162. (In Russ.) https://doi.org/10.18705/1607-419X-2004-10-3-160-162
Views:
3273
Email this article 