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Coronary Circulation

From basic mechanisms to clinical implications

  • Book
  • © 1987

Overview

Part of the book series: Developments in Cardiovascular Medicine (DICM, volume 79)

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Table of contents (20 chapters)

  1. Coronary anatomy

  2. Myocardial perfusion

  3. Clinical assessment of myocardial perfusion

  4. Myocardial reperfusion

Keywords

About this book

Few diagnostic methods in Cardiology have heralded such revolutionary developments as the introduction of coronary arteriography. When, in the early 1960's, Dr. F. Mason Sones demonstrated that visualization of the coronary anatomy in living humans was not only feasible but sufficiently safe and reliable to be used as a clinical tool in the evaluation of patients with known or suspected ischemic heart disease, the thus far somewhat neglected area of coronary circulation became the focus of interest. Naturally, for a considerable period of time a great deal of emphasis was placed upon coronary anatomy. Simple relations between narrowing lesions, impediment to flow, and prognosis were assumed to exist. Spectacular results of surgical coronary revascularization seemed to confirm this concept. Gradually it has become evident that the pathophysiology of coronary artery disease is considerably more complex. Diagnostic methods were introduced to assess and quantify exercise-induced myocardial ischemia. At first, these tests were used mainly to achieve a more discriminative selection of candidates for coronary arteriography and the coronary arteriogram remained the gold standard. Currently, these techniques have evolved to the point where they provide valuable functional and metabolic information. They have become powerful independent tools in clinical investigations and evaluation of individual patients.

Editors and Affiliations

  • Department of Medical Physics, Faculty of Medicine, University of Amsterdam, The Netherlands

    Jos A. E. Spaan

  • Department of Cardiology, University Hospital, Leiden, The Netherlands

    Albert V. G. Bruschke

  • Laboratory for Anatomy and Embryology, Faculty of Medicine, University of Leiden, The Netherlands

    Adriana C. Gittenberger-De Groot

Bibliographic Information

  • Book Title: Coronary Circulation

  • Book Subtitle: From basic mechanisms to clinical implications

  • Editors: Jos A. E. Spaan, Albert V. G. Bruschke, Adriana C. Gittenberger-De Groot

  • Series Title: Developments in Cardiovascular Medicine

  • DOI: https://doi.org/10.1007/978-94-009-3369-9

  • Publisher: Springer Dordrecht

  • eBook Packages: Springer Book Archive

  • Copyright Information: Martinus Nijhoff Publishers, Dordrecht 1987

  • Hardcover ISBN: 978-0-89838-978-4Due: 31 October 1987

  • Softcover ISBN: 978-94-010-8013-2Published: 22 February 2012

  • eBook ISBN: 978-94-009-3369-9Published: 06 December 2012

  • Series ISSN: 0166-9842

  • Edition Number: 1

  • Number of Pages: 260

  • Topics: Cardiology, General Practice / Family Medicine, Cardiac Surgery, Thoracic Surgery

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