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首页> 外文期刊>Circulation journal >Coronary Collateral Growth and Its Therapeutic Application to Coronary Artery Disease
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Coronary Collateral Growth and Its Therapeutic Application to Coronary Artery Disease

机译:冠状动脉侧支生长及其在冠状动脉疾病中的治疗应用

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There is a tremendous body of data concerning the coronary collateral circulation in both experimental animals and humans. The functional importance of a well-developed coronary collateral circulation has now been documented. The paradigm regarding the principal stimulus for coronary collateral growth has shifted from myocardial ischemia to increased shear stress at the site of pre-existing collateral arterioles. Numerous experimental and clinical studies have contributed to elucidation of the mechanisms of coronary collateral growth. Stimulation of coronary collateral growth is an alternative therapeutic approach to patients with intractable angina pectoris who are not indicated for percutaneous coronary intervention and/or coronary artery bypass grafting. Pharmacological and mechanical modulations accelerating coronary collateral growth have been challenged. Because it is conceivable that a well-developed coronary collateral circulation attenuates myocardial ischemia upon exercise, further research addressing coronary collateral growth is needed in both experimental models of myocardial ischemia and human coronary artery disease.??( Circ J ?2010; 74: 1283?-?1289)
机译:关于实验动物和人类中冠状动脉侧支循环的大量数据。现已证明,发达的冠状动脉侧支循环的功能重要性。关于冠状动脉侧支生长的主要刺激的范例已从心肌缺血转移到既有侧支小动脉部位的切应力增加。许多实验和临床研究都有助于阐明冠状动脉侧支生长的机制。对于不适合经皮冠状动脉介入治疗和/或冠状动脉搭桥术的顽固性心绞痛患者,刺激冠状动脉侧支生长是另一种治疗方法。加速冠状动脉侧支生长的药理和机械调节已受到挑战。因为可以想见,发达的冠状动脉侧支循环可减轻运动后的心肌缺血,所以在心肌缺血和人冠状动脉疾病的实验模型中都需要针对冠状动脉侧支生长的进一步研究。(Circ J,2010; 74:1283) ?-?1289)

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