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January 1, 1996Japanese Circulation JournalOpen Access

Reduced Vasodilator Response of the Right Coronary Artery to Myocardial lschemia in the Hypertrophied Right Ventricle

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Key result

In dogs with right ventricular hypertrophy, the reactive hyperemic response to brief right coronary artery occlusion was markedly attenuated, with higher minimum coronary resistance (p<0.02).

Why the study?

Does pressure-induced right ventricular hypertrophy attenuate the reactive hyperemic response of the right coronary artery to brief coronary occlusion in dogs?

Population

8 dogs with pressure-induced right ventricular hypertrophy via chronic pulmonary artery banding, and an…

Comparison

Brief right coronary artery occlusion lasting 5… vs Normal dogs subjected to the same brief RCA…

Design

Preclinical

Authors

DSDaiji SaitoTSTeruo ShirakiKLKimihito lnoue

Discussion

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Member takes

Overview

RV hypertrophy findings in dogs warrant no practice change; leaves open whether inadequate coronary reserve develops in human pressure overload.

Structured PICO

Does pressure-induced right ventricular hypertrophy attenuate the reactive hyperemic response of the right coronary artery to brief coronary occlusion in dogs?

P
Population
8 dogs (3- to 6-month-old) with pressure-induced right ventricular hypertrophy (RVH) via chronic pulmonary artery banding, and an unspecified number of normal dogs.
I
Intervention
Brief right coronary artery (RCA) occlusion lasting 5, 10, 15, 20, 30, 45, and 60 seconds.
C
Comparator
Normal dogs subjected to the same brief RCA occlusions.
O
Outcome
Reactive hyperemic response of the right coronary artery (including peak reactive flow rate, excess blood flow debt repayment, minimum coronary resistance, and T1/2).surrogate

Main Result

p-value: p=<0.02

Right ventricular hypertrophy attenuates the right coronary artery's vasodilator response to acute ischemia, suggesting inadequate coronary vasculature development.

Cite This Study

Saito et al. (1996) studied Right ventricular hypertrophy (n=8). Brief right coronary artery occlusion vs. Normal dogs was evaluated on Reactive hyperemic response (peak reactive flow rate and excess blood flow debt repayment) (p=<0.02). In dogs with right ventricular hypertrophy, the reactive hyperemic response to brief right coronary artery occlusion was markedly attenuated, with higher minimum coronary resistance (p<0.02).

synapsesocial.com/papers/6a1757bb3510de12de8d7cc0https://doi.org/10.1253/jcj.60.247
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effects of exerimental right ventricular hypertrophy on myocardial blood flow in conscious dogs.1979 · 77 citations
  2. 2Cardiac performance and myocardial blood flow in pigs with compensated right ventricular hypertrophy1984 · 11 citations
  3. 3Reactive hyperemia characteristics of the myocardium1960 · 211 citations
  4. 4Regional Myocardial Blood Flow in Lambs with Concentric Right Ventricular Hypertrophy1974 · 252 citations
  5. 5Effects of duration and severity of arterial hypertension and cardiac hypertrophy on coronary vasodilator reserve.1982 · 136 citations