Nonuniform loss of regional flow reserve during myocardial ischemia in dogs.

Abstract:

:To determine whether coronary vasodilator reserve that persists during myocardial ischemia is present in all left ventricular regions, we measured regional blood flow in 192 left ventricular pieces (mean weight, 201 mg) in each of eight dogs by using radioactive microspheres while perfusing the left main coronary artery at 70, 50, 40, and 30 mm Hg. Flows were measured before and during adenosine infusion to determine flow reserve. Perfusion at 40 and 30 mm Hg produced ischemia in all dogs. At 70 mm Hg, 100% of left ventricular regions had significant flow reserve, compared with 92%, 55%, and 8% during perfusion at 50, 40, and 30 mm Hg, respectively. A greater amount of flow reserve and a greater number of regions responded to adenosine in the subepicardium than in the subendocardium at 50, 40, and 30 mm Hg. We conclude that coronary flow reserve persists in only a subset of left ventricular regions during ischemia and that the number of regions with persistent flow reserve decreases with perfusion pressure. These findings may best be explained by a model in which regional ischemia is a maximal coronary vasodilator and persistent pharmacological vasodilator reserve seen when global markers indicate ischemia simply reflects persistent endogenous flow reserve in myocardial regions not yet ischemic.

journal_name

Circ Res

journal_title

Circulation research

authors

Coggins DL,Flynn AE,Austin RE Jr,Aldea GS,Muehrcke D,Goto M,Hoffman JI

doi

10.1161/01.res.67.2.253

subject

Has Abstract

pub_date

1990-08-01 00:00:00

pages

253-64

issue

2

eissn

0009-7330

issn

1524-4571

journal_volume

67

pub_type

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