Search: onr:"swepub:oai:gup.ub.gu.se/239977" > Coronary flow reser...
Fältnamn | Indikatorer | Metadata |
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000 | 04202naa a2200481 4500 | |
001 | oai:gup.ub.gu.se/239977 | |
003 | SwePub | |
008 | 240528s2016 | |||||||||||000 ||eng| | |
024 | 7 | a https://gup.ub.gu.se/publication/2399772 URI |
024 | 7 | a https://doi.org/10.1016/j.ijcard.2016.04.1792 DOI |
040 | a (SwePub)gu | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Blomster, Juuso I.u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut |
245 | 1 0 | a Coronary flow reserve as a link between exercise capacity, cardiac systolic and diastolic function |
264 | 1 | b Elsevier BV,c 2016 |
520 | a Background: Decreased coronary flow reserve (CFR) is associated with increased risk of adverse cardiovascular events. We sought to investigate how CFR from left anterior descending (LAD) coronary artery reflects clinical markers of cardiac function. Methods: We enrolled 400 patients referred for myocardium perfusion scintigraphy due to chest pain at Sahlgrenska University Hospital in Gothenburg, Sweden. Transthoracic echocardiography including adenosine-assisted CFR in LAD was performed at a separate occasion. Results: Median age was 62 years (range 32-83) and 47% were female. Prior myocardial infarction had occurred in 28% of the population. In adjusted multivariate models, CFR in LAD was associated with echocardiography left ventricle ejection fraction at rest (beta = 0.97, p = 0.033) as well as under stress (beta = 1.52, p = 0.0056) and maximum exercise capacity (beta = 6.27, p = 0.026). CFR in LAD outweighed left ventricle ejection fraction as the determinant of maximum exercise capacity. Hyperaemic diastolic mitral annulus peak velocity measured by vector velocity imaging was inversely associated with LAD CFR (beta = -0.39, p = 0.0077). In subgroup analyses these findings were associated with normal coronary perfusion in myocardium perfusion scintigraphy. Conclusions: In patients with angina-like symptoms CFR measured in LAD reflects well both systolic and diastolic cardiac function emphasizing the essential role of myocardial microvascular circulation in cardiac physiology. (C) 2016 Published by Elsevier Ireland Ltd. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
653 | a Cardiac imaging | |
653 | a Systolic function | |
653 | a Diastolic function | |
653 | a Echocardiography | |
653 | a Coronary flow reserve | |
653 | a preserved ejection fraction | |
653 | a ischemic-heart-disease | |
653 | a artery-disease | |
653 | a microvascular dysfunction | |
653 | a vascular dysfunction | |
653 | a diabetes-mellitus | |
653 | a prognostic value | |
653 | a blood-flow | |
653 | a abnormalities | |
653 | a association | |
700 | 1 | a Svedlund, Sarau Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xsveds |
700 | 1 | a Utkovic Westergren, Helenau Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xwehel |
700 | 1 | a Gan, Li-Ming,d 1969u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xganli |
710 | 2 | a Göteborgs universitetb Institutionen för medicin, avdelningen för molekylär och klinisk medicin4 org |
773 | 0 | t International Journal of Cardiologyd : Elsevier BVg 217, s. 161-166q 217<161-166x 0167-5273 |
856 | 4 8 | u https://gup.ub.gu.se/publication/239977 |
856 | 4 8 | u https://doi.org/10.1016/j.ijcard.2016.04.179 |
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