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Download Coronary Pressure by Nico H. J. Pijls, Bernard De Bruyne (auth.) PDF

By Nico H. J. Pijls, Bernard De Bruyne (auth.)

A little bit greater than years after the 1st version, we're happy to post the second one version of this e-book. greater than 1/2 the chapters were transformed and accomplished because the results of technical advancements and lately bought medical information. in the course of those years, the variety of coronary strain measurements played world wide either in the course of diagnostic and interventional systems has elevated nearly exponentially. lots of the preliminary difficulties linked to this new strategy were conquer. Many colleagues have explored new study avenues and in lots of catheterization laboratories the tactic has matured from a study toy to a medical device. Classical symptoms equivalent to the intermediate stenosis and information of PTCA or stent implantation, were mostly prolonged and coronary strain size has confirmed to be necessary in multi vessel disorder, diffuse affliction, lengthy and serial stenosis, after myocardial infarction, and in lots of different diagnostic and interventional events encountered within the catheterization laboratory. fairly abruptly, this technique has additionally enforced the binds with our surgical colleagues within the collection of sufferers appropriate for minimum invasive surgical procedure or hybride revascularization. additionally in light and intermediate left major illness, there's a function for coronary strain dimension within the technique of choice making. we wish to specific our gratitude to all these many colleagues who relied on and utilized this new strategy for the advantage of their sufferers. Aalst, Eindhoven, Bernard De Bruyne. Nico H. J. Pijls. March, 2000. desk of Contents (overview) 1 1.

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Boosted by the emergence of interventional cardiology, several catheter-based techniques have been developed to assist cardiologists in clinical decision-making with respect to the appropriateness of revascularization of a particular stenosis. These techniques are based on a morphological or a functional approach and are briefly reviewed in this chapter. 1 Morphological approaches. 1 Quantitative coronary angiography. Since its introduction in the late fifties, coronary angiography has been used as the reference method of the diagnosis of coronary artery disease 1,2.

Gorman MW, Sparks HV. progressive coronary vasoconstriction during relative ischemia in canine myocardium. Cire Res 1982;51 :411-420. 24 Chapter 2 73. Pantely GA Bristow JD, Swenson LJ, Ladley HD, Johnson WB, Anselone CG. Incomplete coronary vasodilation during myocardial ischemia in swine. Am J Physiol 1985;249:H638H647. Canty JM, Klocke F. Reduced regional myocardial perfusion in the presence of pharmacologic vasodilator reserve. Circulation 1985;71 :370-377. Aversano T, Becker LC. Persistence of coronary vasodilator reserve despite functionally significant flow reduction.

63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 23 Rossen JD, Oskarsson H, Minor RL Jr, Talman CL, Winniford MD. Effect of adenosine antagonism on metabolically mediated coronary vasodilation in humans. JAm Coli Cardioi 1994;23: 1421-1426. Heusch G, Yoshimoto N. Effects of heart rate and perfusion pressure on segmental coronary resistances and collateral perfusion. Pfluegers Arch 1983;397:284-289. Heusch G, Yoshimoto N. Effects of cardiac contraction on segmental coronary resistances and collateral perfusion.

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