Left Ventricular Hypertrophy, Myocardial Blood Flow and Coronary Flow Reserve

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Abstract

In this review, the coronary haemodynamics of hypertrophic heart disease are discussed with reference to data published over the last 15 years. Coronary reserve is reduced in the presence of concentric cardiac hypertrophy, but is similar to normal in hypertrophic obstructive cardiomyopathy and aortic stenosis, despite marked left ventricular hypertrophy. A moderate decrease in coronary reserve is found in aortic incompetence and in dilated essential hypertension. In hypertensive heart disease, improvement in coronary reserve can be achieved by long-term vasodilator therapy.

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Journal ID (publisher-id): CRD

Journal ID (nlm-ta): Cardiology

Journal ID (doi): 10.1159/issn.0008-6312

Title: Cardiology

Publisher: S. Karger AG

ISSN (Print): 0008-6312

ISSN (Electronic): 1421-9751

Publication date Subscription-year: 1992

Publication date (Print): 1992

Publication date (Electronic): 14 November 2008

Volume: 81

Issue: 4-5

Pages: 274-282

Affiliations

Department of Medicine, Clinic and Polyclinic B, University of Düsseldorf, FRG

Article

Publisher ID: 175817 Other ID: Cardiology 1992;81:274–282

DOI: 10.1159/000175817

PubMed ID: 1301255

SO-VID: 8613f0fc-e4ff-4a87-986c-ceec1faeeec6

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Left Ventricular Hypertrophy, Myocardial Blood Flow and Coronary Flow Reserve

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Abstract

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Karger: Cardiovascular System

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