Coronary Collateral Flow Index Is Correlated With the Palmar Collateral Flow Index Indicating Systemic Collateral Coherence in Individual Patients-Brief Report
Autor: | Paul Knaapen, Maarten A.H. van Leeuwen, Maurits R. Hollander, M F Jansen, Stefan P. Schumacher, Wijnand J. Stuijfzand, Peter M. van de Ven, A.J.G. Horrevoets, Niels van Royen, Alex Nap |
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Přispěvatelé: | Cardiology, VU University medical center, ACS - Atherosclerosis & ischemic syndromes, Epidemiology and Data Science, ACS - Heart failure & arrhythmias, APH - Methodology |
Rok vydání: | 2021 |
Předmět: |
Male
Cardiac Catheterization medicine.medical_specialty Arterial disease Collateral Circulation Coronary artery disease Angina Coronary circulation All institutes and research themes of the Radboud University Medical Center Coronary Circulation Internal medicine medicine Humans In patient Aged integumentary system business.industry Vascular damage Radboud Institute for Molecular Life Sciences [Radboudumc 16] Blood Pressure Determination Middle Aged medicine.disease Collateral circulation body regions medicine.anatomical_structure Collateral flow Blood pressure Coronary Occlusion Thumb Regional Blood Flow Chronic Disease Radial Artery Cardiology Female Cardiology and Cardiovascular Medicine business |
Zdroj: | Arteriosclerosis, Thrombosis, and Vascular Biology, 41, 1830-1836 Hollander, M R, Jansen, M F, Schumacher, S P, Stuijfzand, W J, van Leeuwen, M A H, van de Ven, P M, Horrevoets, A J, Nap, A, Knaapen, P & van Royen, N 2021, ' Coronary Collateral Flow Index Is Correlated with the Palmar Collateral Flow Index: Indicating Systemic Collateral Coherence in Individual Patients-Brief Report ', Arteriosclerosis, Thrombosis, and Vascular Biology, pp. 1830-1836 . https://doi.org/10.1161/ATVBAHA.121.316092 Arteriosclerosis, Thrombosis, and Vascular Biology, 1830-1836. Lippincott Williams and Wilkins STARTPAGE=1830;ENDPAGE=1836;ISSN=1079-5642;TITLE=Arteriosclerosis, Thrombosis, and Vascular Biology Arteriosclerosis, Thrombosis, and Vascular Biology, 41, 5, pp. 1830-1836 |
ISSN: | 1079-5642 |
DOI: | 10.1161/ATVBAHA.121.316092 |
Popis: | Objective: The extent of the collateral circulation varies between individuals which affects morbidity and mortality. Experimental data show that collateral coherence between different organs is strain-dependent. Whether this interrelation is also present in humans is unknown. This study investigates the relation between the palmar and the coronary circulation in patients with coronary artery disease and which factors possibly influence collateral development. Approach and Results: In 50 patients with a chronic total occlusion, both the coronary collateral flow index (CFI) and the palmar CFI was measured. The correlation between both indices was determined, together with the relation to clinical variables. Mean coronary CFI was 0.51±0.16, and mean palmar CFI was 0.82±0.13. The coronary and palmar CFI were significantly correlated (ρ=0.48, P =0.001). Coronary CFI was 22% lower in low palmar CFI patients (P =0.03). In multivariable analysis, coronary CFI was significantly correlated with the palmar CFI and the duration of angina pectoris. Coronary CFI was inversely correlated with peripheral artery disease and systolic blood pressure. Conclusions: The coronary CFI and palmar CFI are significantly correlated, implicating collateral coherence between vascular beds in humans. |
Databáze: | OpenAIRE |
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