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Quantitative difference in "critical" stenosis between right and left coronary artery in man.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Rafflenbeul, Wolf Urthaler, Ferdinand Lichtlen, Paul Robert |
| Copyright Year | 1980 |
| Abstract | Coronary artery stenoses that limit blood flow below demand are considered critical. In this comparative study we investigated whether the same degree of stenosis in either the proximal third of the right coronary artery (RCA) or the proximal third of the left anterior descending artery (LAD) causes critical flow reduction. Lesions were quantified from 35-mm cinefilms in multiple projections using a vernier caliper. These morphometric measurements were correlated with various manifestations of critical flow reduction, such as angina pectoris, development of collateral vessels and segmental wall motion abnormalities. In 13 patients with anginal pain and isolated RCA stenosis, the mean degree of obstruction was 63% area stenosis, which was significantly lower (p < 0.05) than that measured in 17 symptomatic patients who had isolated obstructions of the LAD (77% area stenosis). In patients with an identical degree of obstruction (78%) in either the LAD or RCA, collateral vessels were angiographically demonstrable in 53% of the RCA stenoses but in only 29% of the LAD stenoses. Furthermore, when the stenoses were less than 63% in the RCA and LAD, regional wall motion abnormalities were more frequently (p < 0.05) associated with RCA than with LAD stenoses. These observations indicate that a significantly smaller percent area of stenosis is critical in the RCA than in the LAD. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://circ.ahajournals.org/content/circulationaha/62/6/1188.full.pdf |
| Alternate Webpage(s) | http://circ.ahajournals.org/content/circulationaha/62/6/1188.full.pdf?download=true |
| PubMed reference number | 7438354v1 |
| Volume Number | 62 |
| Issue Number | 6 |
| Journal | Circulation |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Angina Pectoris Anterior descending branch of left coronary artery Blood Vessel CALIPER Congenital Abnormality Coronary Artery Disease Esophageal Stenosis Left coronary artery structure Obstruction Patients Projections and Predictions Right coronary artery structure Small |
| Content Type | Text |
| Resource Type | Article |
