Abstract
Coronary artery occlusion results in remarkably rapid development of an effective intercoronary collateral circulation. If occlusion proceeds gradually, sufficient collateral vessel recruitment and growth may occur to allow progression to total arterial occlusion with little or no infarction of the dependent myocardium. In this situation the collateral vessels are able to provide adequate arterial inflow to maintain myocardial integrity during resting conditions, but the ability to augment blood flow in response to exercise or other stress may be limited and develop only gradually. This chapter will consider studies of the coronary vascular system in the intact heart which contains a region of collateral dependent myocardium. Emphasis will be placed on studies in which the response of the coronary collateral system is integrated into the overall response of the heart to exercise.
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© 1992 Springer Science+Business Media New York
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Bache, R.J. (1992). Effect of Exercise and Pharmacologic Interventions on Coronary Collateral Blood Flow. In: Schaper, W., Schaper, J. (eds) Collateral Circulation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3092-3_9
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DOI: https://doi.org/10.1007/978-1-4615-3092-3_9
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-6351-4
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