PMID: 970328Oct 1, 1976Paper

Regional myocardial blood flow during hyperemia induced by contrast agent in patients with coronary artery disease

The American Journal of Cardiology
B L HolmanR Gorlin


Regional myocardial specific blood flow (regional specific flow) was measured at rest and during contrast hyperemia after the intracoronary injection of xenon-133. The changes in regional specific flow were transient, resulting in some compromise in one of the underlying restraints of the inert gas washout method, namely, the presence of a steady state. Therefore, to determine the clinical utility of this technique, regional specific flow values obtained with this method were correlated with the presence and severity of coronary artery disease as assessed from the coronary arteriogram and left ventriculogram. Regional specific flow during contrast hyperemia was 186+/- 11 (mean +/- 1 standard error of the mean) ml/min per 100 g in control patients and 115+/-5 in patients with coronary artery disease. There was an inverse relation between regional specific flow during contrast hyperemia and the percent coronary stenosis when the stenosis was 40 percent or greater (r = 0.70, P less than 0.001). Regional specific flow was significantly less in patients with asynergy (77 +/- 10 ml/min per 100 g) than in patients with normal ventricular function (105 +/- 5) distal to coronary stenoses of greater than 75 percent. Thus regional specifi...Continue Reading


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Related Concepts

Blood Flow Velocity
Radiographic contrast media
Coronary Circulation
Coronary Heart Disease
Sinus Node Artery
Left Ventricular Structure
Reactive Hyperemia
Myocardial Contraction

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