<p>Few diagnostic methods in Cardiology have heralded such revolutionary developments as the introduction of coronary arteriography. When, in the early 1960's, Dr. F. Mason Sones demonstrated that visualization of the coronary anatomy in living humans was not only feasible but sufficiently safe and
Coronary Circulation: Basic Mechanism and Clinical Relevance
β Scribed by Robert J. Tomanek (auth.), Dr. Fumihiko Kajiya, Dr. Gerald A. Klassen, Prof. Jos A. E. Spaan, Dr. Julien I. E. Hoffman (eds.)
- Publisher
- Springer Tokyo
- Year
- 1990
- Tongue
- English
- Leaves
- 327
- Edition
- 1
- Category
- Library
No coin nor oath required. For personal study only.
β¦ Synopsis
Coronary heart disease is one of the major health problems in indusΒ trialized nations because of its high incidence and severity. Recent innovations in medical and surgical treatment of coronary heart disΒ ease have increased the importance of accurate diagnostic methods for determining the severity of coronary disease, identifying potential treatment alternatives, and evaluating the results of treatment. Great advances have also been made in basic research on coronary circulaΒ tion and its interaction with myocardial contraction and relaxation and neural and humoral control. With respect to these developments, the papers included in the present monograph deal with important topics concerned with the basic mechanism of coronary circulation as well as ones of clinical relevance. It is directed toward physicians (cardiologists, cardiac surgeons, cardiac radiologists, anestheologists, and others) and basic scientists (e.g., physiologists, bioengineers). We would like to emΒ phasize the importance of a multidisciplinary approach in which basic scientists and clinicians work closely together. This volume consists of nine chapters. Chapter 1 contains macroΒ scopic and microscopic descriptions of coronary vascular anatomy, which is closely related to the functions of coronary circulation. In Chap. 2 two methods in current use to evaluate phasic coronary blood velocity waveforms are presented, i.e., the laser Doppler and ultrasound Doppler methods. Chapter 3 describes the mechanical properties of coronary circulation, a knowledge of which is indispensΒ able for an understanding of coronary arterial and venous blood flow velocity waveforms in relation to cardiac contraction and relaxation.
β¦ Table of Contents
Front Matter....Pages i-xi
Front Matter....Pages 1-1
Anatomical Principles of the Coronary Circulation....Pages 3-14
Flow Strategy and Functional Design of the Coronary Network....Pages 15-40
Front Matter....Pages 41-41
Evaluation of Coronary Blood Flow by Fiber-Optic Laser Doppler Velocimeter....Pages 43-53
Ultrasonic Measurements of Coronary Blood Flow....Pages 55-72
Front Matter....Pages 73-73
Coronary Circulation Mechanics....Pages 75-87
Functional Characteristics of Intramyocardial Capacitance Vessels and Their Effects on Coronary Arterial Inflow and Venous Outflow....Pages 89-97
Input Impedance of the Canine Coronary Arterial Tree....Pages 99-108
Pressure-Flow Relationships of the Coronary Arteries....Pages 109-125
Effect of Ventricular and Extraventricular Pressure on the Coronary Artery Pressure-Flow Relationship....Pages 127-138
Front Matter....Pages 139-139
Transmural Myocardial Perfusion....Pages 141-152
Front Matter....Pages 153-153
Characteristics of Velocity Waveform and Radius in Epimyocardial Microvessels in Beating Left Ventricle....Pages 155-167
Evaluation of the Velocity Waveform in Intramyocardial Small Vessels....Pages 169-172
Microvascular Pressure Profiles in the Left and Right Coronary Circulations....Pages 173-187
Front Matter....Pages 189-189
Mechanisms of Control in the Coronary Circulation....Pages 191-195
Sympathetic Control of the Coronary Circulation....Pages 197-209
Humoral Control of the Coronary Circulation....Pages 211-220
Static and Dynamic Control of the Coronary Circulation....Pages 221-232
Front Matter....Pages 233-233
Coronary Circulation in Myocardial Hypertrophy....Pages 235-243
Provocation of Coronary Spasm and Its Pathophysiology: Experimental Studies....Pages 245-252
Front Matter....Pages 253-253
Development of Coronary Collaterals....Pages 255-266
Front Matter....Pages 253-253
A Conscious Animal Model for Studies of Coronary Collateral Blood Flow Dynamics....Pages 267-278
Front Matter....Pages 279-279
Coronary Reserve in the Human Coronary Circulation....Pages 281-294
Flow Dynamics in Coronary Stenosis....Pages 295-304
Characteristics of Coronary Artery Blood Velocity Waveforms in Aortic Stenosis and Regurgitation....Pages 305-312
Coronary Circulation in Patients with Typical Angina Pectoris but Normal Coronary Angiograms....Pages 313-324
Blood Velocity Waveforms in Coronary Bypass Grafts....Pages 325-334
Back Matter....Pages 335-335
β¦ Subjects
Cardiology;Human Physiology;Cardiac Surgery;Vascular Surgery;Biomedical Engineering
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