Сoronary paradox
This work is a scientific and educational analytical review intended for practicing cardiologists. The purpose of the review is to draw physicians’ attention to the role of myocardial contractility in the regulation of coronary circulation. We consider the fundamental phenomenon of arterial compress...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2022-12-01
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| Series: | Vestnik Transplantologii i Iskusstvennyh Organov |
| Subjects: | |
| Online Access: | https://journal.transpl.ru/vtio/article/view/1558 |
| _version_ | 1797871952209117184 |
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| author | V. V. Chestukhin F. A. Blyakhman |
| author_facet | V. V. Chestukhin F. A. Blyakhman |
| author_sort | V. V. Chestukhin |
| collection | DOAJ |
| description | This work is a scientific and educational analytical review intended for practicing cardiologists. The purpose of the review is to draw physicians’ attention to the role of myocardial contractility in the regulation of coronary circulation. We consider the fundamental phenomenon of arterial compression (squeezing) in the left ventricular (LV) wall, creating an obstruction to blood flow during cardiac systole. This phenomenon formally resembles functional coronary artery stenosis. Based on a review of the literature, the positive role of arterial compression in coronary hemodynamics is interpreted. Understanding the mechanical relationship between the contractile and coronary systems in the cardiac wall may be useful for practicing physicians when choosing treatment tactics for patients, optimizing LV bypass during heart surgeries, and improving the efficiency of adaptation of the transplanted heart. |
| first_indexed | 2024-04-10T00:51:02Z |
| format | Article |
| id | doaj.art-b5cde3e5543b4789842554f300560a27 |
| institution | Directory Open Access Journal |
| issn | 1995-1191 |
| language | Russian |
| last_indexed | 2024-04-10T00:51:02Z |
| publishDate | 2022-12-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Vestnik Transplantologii i Iskusstvennyh Organov |
| spelling | doaj.art-b5cde3e5543b4789842554f300560a272023-03-13T10:37:28ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912022-12-0124414515110.15825/1995-1191-2022-4-145-1511138Сoronary paradoxV. V. Chestukhin0F. A. Blyakhman1Sklifosovsky Research Institute of Emergency CareUral State Medical University; Ural Federal UniversityThis work is a scientific and educational analytical review intended for practicing cardiologists. The purpose of the review is to draw physicians’ attention to the role of myocardial contractility in the regulation of coronary circulation. We consider the fundamental phenomenon of arterial compression (squeezing) in the left ventricular (LV) wall, creating an obstruction to blood flow during cardiac systole. This phenomenon formally resembles functional coronary artery stenosis. Based on a review of the literature, the positive role of arterial compression in coronary hemodynamics is interpreted. Understanding the mechanical relationship between the contractile and coronary systems in the cardiac wall may be useful for practicing physicians when choosing treatment tactics for patients, optimizing LV bypass during heart surgeries, and improving the efficiency of adaptation of the transplanted heart.https://journal.transpl.ru/vtio/article/view/1558heartleft ventriclecoronary arteriesmyocardial contractilityarterial compressioncoronary circulation |
| spellingShingle | V. V. Chestukhin F. A. Blyakhman Сoronary paradox Vestnik Transplantologii i Iskusstvennyh Organov heart left ventricle coronary arteries myocardial contractility arterial compression coronary circulation |
| title | Сoronary paradox |
| title_full | Сoronary paradox |
| title_fullStr | Сoronary paradox |
| title_full_unstemmed | Сoronary paradox |
| title_short | Сoronary paradox |
| title_sort | сoronary paradox |
| topic | heart left ventricle coronary arteries myocardial contractility arterial compression coronary circulation |
| url | https://journal.transpl.ru/vtio/article/view/1558 |
| work_keys_str_mv | AT vvchestukhin soronaryparadox AT fablyakhman soronaryparadox |