Effects of acute ischaemia induced by atrial pacing on coronary blood flow in dogs.

Five anaesthetized open chested dogs were studied by measuring left anterior descending (LAD) coronary blood flow, at rest, after atrial pacing and after Isoprenaline infusion. The LAD was then stenosed in order to reduce the hyperaemic response and then the study was repeated. During the control s...

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Main Authors: R Seabra-Gomes, A F Rickards, D J Parker
Format: Article
Language:English
Published: Ordem dos Médicos 1979-04-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4334
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author R Seabra-Gomes
A F Rickards
D J Parker
author_facet R Seabra-Gomes
A F Rickards
D J Parker
author_sort R Seabra-Gomes
collection DOAJ
description Five anaesthetized open chested dogs were studied by measuring left anterior descending (LAD) coronary blood flow, at rest, after atrial pacing and after Isoprenaline infusion. The LAD was then stenosed in order to reduce the hyperaemic response and then the study was repeated. During the control situation LAD flow was shown to increase with the increase in heart rate. Although the partial occlusion did not drop resting coronary flow, it actually fell under stress conditions to 68 % of the control values. The importance of this observation is that although one might expect flow in a stenosed vessel to increase to a maximum limited by the stenosis, this in fact does not happen. lt appears that with increasing stress, local ischaemia produces a rise in coronary resistance. Such a mechanism may explain the occurrence of myocardial infarction without proximal occlusion of coronary vessels and may explain the discrepancy between the time course of myocardial infarction as observed following experimental coronary ligation and that seen in man.
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spelling doaj.art-5dda96569e4349eebd32ff2ae0ad2c2d2022-12-22T02:32:25ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581979-04-011210.20344/amp.4334Effects of acute ischaemia induced by atrial pacing on coronary blood flow in dogs.R Seabra-GomesA F RickardsD J Parker Five anaesthetized open chested dogs were studied by measuring left anterior descending (LAD) coronary blood flow, at rest, after atrial pacing and after Isoprenaline infusion. The LAD was then stenosed in order to reduce the hyperaemic response and then the study was repeated. During the control situation LAD flow was shown to increase with the increase in heart rate. Although the partial occlusion did not drop resting coronary flow, it actually fell under stress conditions to 68 % of the control values. The importance of this observation is that although one might expect flow in a stenosed vessel to increase to a maximum limited by the stenosis, this in fact does not happen. lt appears that with increasing stress, local ischaemia produces a rise in coronary resistance. Such a mechanism may explain the occurrence of myocardial infarction without proximal occlusion of coronary vessels and may explain the discrepancy between the time course of myocardial infarction as observed following experimental coronary ligation and that seen in man. https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4334
spellingShingle R Seabra-Gomes
A F Rickards
D J Parker
Effects of acute ischaemia induced by atrial pacing on coronary blood flow in dogs.
Acta Médica Portuguesa
title Effects of acute ischaemia induced by atrial pacing on coronary blood flow in dogs.
title_full Effects of acute ischaemia induced by atrial pacing on coronary blood flow in dogs.
title_fullStr Effects of acute ischaemia induced by atrial pacing on coronary blood flow in dogs.
title_full_unstemmed Effects of acute ischaemia induced by atrial pacing on coronary blood flow in dogs.
title_short Effects of acute ischaemia induced by atrial pacing on coronary blood flow in dogs.
title_sort effects of acute ischaemia induced by atrial pacing on coronary blood flow in dogs
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4334
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AT djparker effectsofacuteischaemiainducedbyatrialpacingoncoronarybloodflowindogs