Coronary artery blood how: Physiologic and pathophysiologic regulation

作者: Lillybeth Feliciano , Robert J. Henning

DOI: 10.1002/CLC.4960221205

关键词: Endothelial dysfunctionCardiologyCoronary artery diseaseHypertensive heart diseaseIschemiaMedicineMyocardial infarctionArteryCoronary atherosclerosisEndotheliumInternal medicine

摘要: Acute myocardial ischemia, which results from a significant imbalance between oxygen demands and supply, occurs in as many six million persons with atherosclerotic coronary artery disease the United States. Accordingly, clear understanding of physiologic pathophysiologic factors that influence blood flow is important to clinician provides basis for judicious use medications treatment patients disease. This review discusses endothelial, metabolic, myogenic, neurohumoral mechanisms regulation interaction different flow. The importance nitric oxide emphasized. We also discuss common clinical problems hyperlipidemia atherosclerosis, spasm, systemic arterial hypertension result endothelial dysfunction, impaired production increased inactivation oxide, impairment regulation. information clinicians because more than forty people States have or hypertensive heart therefore are at risk complications due

参考文章(137)
Steinhart Ck, Olsson Ra, Metabolic regulation of coronary blood flow. The Physiologist. ,vol. 25, pp. 51- ,(1982)
Gerald A. Klassen, Humoral Control of the Coronary Circulation Springer Japan. pp. 211- 220 ,(1990) , 10.1007/978-4-431-68087-1_16
Daniel Steinberg, Oxidative Modification of LDL and Atherogenesis Circulation. ,vol. 95, pp. 141- 147 ,(1998) , 10.1007/978-94-011-5022-4_16
Christopher J. H. Jones, Lih Kuo, Michael J. Davis, William M. Chilian, Distribution and Control of Coronary Microvascular Resistance Advances in Experimental Medicine and Biology. ,vol. 346, pp. 181- 188 ,(1993) , 10.1007/978-1-4615-2946-0_17
L. Kuo, W. M. Chilian, M. J. Davis, D. V. Defily, C. J. H. Jones, Endothelial regulation of coronary microvascular tone under physiological and pathophysiological conditions. European Heart Journal. ,vol. 14, pp. 55- 59 ,(1993)
L. Kuo, M. J. Davis, W. M. Chilian, Endothelium-dependent, flow-induced dilation of isolated coronary arterioles American Journal of Physiology-heart and Circulatory Physiology. ,vol. 259, ,(1990) , 10.1152/AJPHEART.1990.259.4.H1063
Attilio Maseri, Silva Severi, Maurizio de Nes, Antonio L'Abbate, Sergio Chierchia, Mario Marzilli, Anna Maria Ballestra, Oberdan Parodi, Andrea Biagini, Alessandro Distante, “Variant” angina: One aspect of a continuous spectrum of vasospastic myocardial ischemia: Pathogenetic Mechanisms, Estimated Incidence and Clinical and Coronary Arteriographic Findings in 138 Patients American Journal of Cardiology. ,vol. 42, pp. 1019- 1035 ,(1978) , 10.1016/0002-9149(78)90691-4
L. Kuo, W. M. Chilian, C. J. H. Jones, M. J. Davis, Myogenic and flow-dependent control mechanisms in the coronary microcirculation. Basic Research in Cardiology. ,vol. 88, pp. 2- 10 ,(1993) , 10.1007/BF00788525
Melvin L. Marcus, David G. Harrison, Robert J. Tomanek, Kathryn G. Lamping, Kevin C. Dellsperger, Pathophysiology of myocardial perfusion in hypertension. Circulation. ,vol. 83, ,(1991)
Björn Dahlöf, Kjell Pennert, Lennart Hansson, Reversal of left ventricular hypertrophy in hypertensive patients. A metaanalysis of 109 treatment studies. American Journal of Hypertension. ,vol. 5, pp. 95- 110 ,(1992) , 10.1093/AJH/5.2.95