期刊
PROGRESS IN CARDIOVASCULAR DISEASES
卷 57, 期 5, 页码 409-422出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.pcad.2014.12.002
关键词
Coronary blood flow; Ischemic heart disease; Microvascular dysfunction; Hypertrophy; Coronary artery disease
资金
- European Commission [MEDIA-261409]
- European Union [606998]
- Hungarian National Scientific Research Found (OTKA) [K-108444]
- National Heart Lung and Blood Institute [HL 55324, HL 61610]
- Albert and Elizabeth Rekate fund
The major factors determining myocardial perfusion and oxygen delivery have been elucidated over the past several decades, and this knowledge has been incorporated into the management of patients with ischemic heart disease (IHD). The basic understanding of the fluid mechanical behavior of coronary stenoses has also been translated to the cardiac catheterization laboratory where measurements of coronary pressure distal to a stenosis and coronary flow are routinely obtained. However, the role of perturbations in coronary microvascular structure and function, due to myocardial hypertrophy or coronary microvascular dysfunction, in IHD is becoming increasingly recognized. Future studies should therefore be aimed at further improving our understanding of the integrated coronary microvascular mechanisms that control coronary blood flow, and of the underlying causes and mechanisms of coronary microvascular dysfunction. This knowledge will be essential to further improve the treatment of patients with IHD. (C) 2014 Elsevier Inc. All rights reserved.
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