Quantitative difference in "critical" stenosis between right and left coronary artery in man.
- 1 December 1980
- journal article
- research article
- Published by Wolters Kluwer Health in Circulation
- Vol. 62 (6), 1188-1196
- https://doi.org/10.1161/01.cir.62.6.1188
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.This publication has 17 references indexed in Scilit:
- Comparison of coronary arteriograms with direct measurements of stenosed coronary arteries in dogsAmerican Heart Journal, 1978
- Caliber and distribution of normal coronary arterial anatomyaCatheterization and Cardiovascular Diagnosis, 1976
- Coronary Atherosclerosis, Coronary Collaterals, and Their Relation to Cardiac FunctionAnnals of Internal Medicine, 1970
- Postexercise Electrocardiography in Patients with Arteriographically Documented Coronary Artery DiseaseAnnals of Internal Medicine, 1969
- Day-to-Day Changes in Coronary Hemodynamics Secondary to Constriction of Circumflex Branch of Left Coronary Artery in Conscious DogsCirculation Research, 1968
- Localized Disorders in Myocardial ContractionNew England Journal of Medicine, 1967
- Distribution of Arterial Lesions Demonstrated by Selective Cinecoronary ArteriographyCirculation, 1967
- Systemic and Coronary Energetics in the Resting Unanesthetized DogCirculation Research, 1965
- Measurement of Myocardial Blood Flow in Animals and Man by Selective Injection of Radioactive Inert Gas into the Coronary ArteriesCirculation Research, 1964