CORONARY COLLATERAL CIRCULATION IN INFARCTION-RELATED ARTERY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION WITH RISE AND WITHOUT RISE OF ST SEGMENT
https://doi.org/10.24884/0042-4625-2014-173-1-066-068
Abstract
The authors analyzed a condition of coronary collateral circulation in infarction-related artery in patients with acute myocardial infarction with rise and without rise of ST segment. The assessment of collateral circulation was made by coronary angiography using Rentop scale. Results of the research showed, that collateral circulation wasn’t visualized by angiography in the first hours after acute myocardial infarction with the rise of ST segment. Apparently, this circulation didn’t significantly assisted in maintenance of vital capacity of the myocardium in the pool of infarction-related occlusive coronary artery. Visualization of collateral circulation was noted in majority of patients with acute myocardial infarction without the rise of ST segment. Collateral flow was an important alternative source of blood supply of the heart in patients without rise of ST segment in the period of critical reduction of the antegrade blood flow.
About the Authors
N. A. Yaitsky
Saint-Petersburg Pavlov First State Medical University
Russian Federation
Russian Federation
O. G. Zverev
Saint-Petersburg Pavlov First State Medical University
Russian Federation
Russian Federation
A. B. Volkov
Saint-Petersburg Pavlov First State Medical University
Russian Federation
Russian Federation
A. V. Voinov
Saint-Petersburg Pavlov First State Medical University
Russian Federation
Russian Federation
R. I. Abdulragimov
Saint-Petersburg Pavlov First State Medical University
Russian Federation
Russian Federation
References
1. Botman C. J., Schonberger J., Koolen S. et al. Does stenosis severity of native vessels influence bypass graft patency? A prospective fractional flow reserve-guided study // Ann. Thorac. Surg. 2007. Vol. 83. P. 2093–2097.
2. Charney R., Cohen M. The role of the coronary collateral circulation in limiting myocardial ischemia and infarct size // Am. Heart. J. 1993. Vol. 126, № 4. P. 937–945.
3. de Bruyne B., Maier B., Finci L. et al. Potential protective effect of high coronary wedge pressure on left ventricular function after coronary occlusion // Circulation. 1988. Vol. 78. P. 566–572.
4. Gorlin R. Coronary collaterals // Major Probl. Intern. Med. 1976. Vol. 11. P. 59–70.
5. Habib G. B., Heibig J., Forman S. A. et al. Influence of coronary collateral vessels on myocardial infarct size in humans. Results of phase I thrombolysis in myocardial infarction (TIMI) trial. The TIMI Investigators // Circulation. 1991. Vol. 83, № 3. P. 739–746.
6. Hirai T., Fujita M., Sasayama S. et al. Importance of coronary collateral circulation for kinetics of serum creatine kinase in acute myocardial infarction //Am. J. Cardiol. 1987. Vol. 60, № 7. P. 446–450.
7. Kaku D., Nakahira A., Hirai H. et al. Does rich coronary collateral circulation distal to chronically occluded left anterior descending artery compete with graft flow? // Interact. Thorac. Surg. 2013. Vol. 19. P. 1–6.
8. Levin D. C. Pathways and functional significance of the coronary collateral circulation // Circulation. 1974. Vol. 50. P. 831–837.
9. Levin D. C., Carlson R. G., Baltaxe H. A. Angiographic determination of operability in candidates for aorta-coronary bypass // Am. J. Roentgenol. Radium Ther. Nuol. Med. 1972. Vol. 66. P. 116.
10. Nicolau J. C., Nogueira P. R., Pinto M. A. et al. Early infarct artery collateral flow does not improve long-term survival following thrombolytic therapy for acute myocardial infarction // Av. J. Cardiol. 1999. Vol. 83. P. 21–26.
11. Nordgaard H., Nordhaug D., Kirkeby-Garstad I. et al. Different graft flow patterns due to competitive flow or stenosis in the coronary anastomosis assessed by transit-time flowmetry in a porcine model // Eur. J. Cardiothorac. Surg. 2009. Vol. 36. P. 137–142.
12. Rentrop K. P., Cohen M., Blanke H. et al. Changes in collateral channel filling immediately after controlled coronary artery occlusion by an angioplasty balloon in human subjects // J. Am. Coll. Cardiol. 1985. Vol. 5. P. 587–592.
13. Sabia P. J., Powers E. R., Jayaweera A. R. et al. Funcional significance of collateral blood flow in patients with recent acute myocardial infarction. A study using myocardial contrast echo-cardiography // Circulation. 1992. Vol. 85. P. 2080–2089.
14. Sabik J. F., Lytle B. W., Blackstone E. H. et al. Does competitive flow reduce internal thoracic artery graft patency? // Ann. Thorac. Surg. 2003. Vol. 76. P. 1490–1497.
Review
For citations:
Yaitsky N.A., Zverev O.G., Volkov A.B., Voinov A.V., Abdulragimov R.I. CORONARY COLLATERAL CIRCULATION IN INFARCTION-RELATED ARTERY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION WITH RISE AND WITHOUT RISE OF ST SEGMENT. Grekov's Bulletin of Surgery. 2014;173(1):066-068. (In Russ.) https://doi.org/10.24884/0042-4625-2014-173-1-066-068
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