Hibernating myocardium: clinical and functional response to revascularisation

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Hibernating myocardium.

Decreased myocardial contraction occurs as a consequence of a reduction in blood flow. The concept of hibernation implies a downregulation of contractile function as an adaptation to a reduction in myocardial blood flow that serves to maintain myocardial integrity and viability during persistent ischemia. Unequivocal evidence for this concept exists in scenarios of myocardial ischemia that last...

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EVects of coronary revascularisation on myocardial blood flow and coronary vasodilator reserve in hibernating myocardium

Objective—Previous studies have suggested that resting myocardial blood flow is within normal limits in most chronically dysfunctional left ventricular segments which improve function after coronary artery revascularisation (hibernating myocardium). The aim of this study was to assess myocardial blood flow and coronary vasodilator reserve in hibernating myocardium before and after coronary reva...

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Effects of coronary revascularisation on myocardial blood flow and coronary vasodilator reserve in hibernating myocardium.

OBJECTIVE Previous studies have suggested that resting myocardial blood flow is within normal limits in most chronically dysfunctional left ventricular segments which improve function after coronary artery revascularisation (hibernating myocardium). The aim of this study was to assess myocardial blood flow and coronary vasodilator reserve in hibernating myocardium before and after coronary reva...

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REVIEW IN DEPTH Clinical pathophysiology of hibernating myocardium

Our current knowledge of the pathophysiology of chronic hibernating myocardium is mainly based on results from clinical studies, because of the absence of appropriate and validated animal models. These clinical observations have given rise to two major controversies: the role of reduced blood flow and that of histological changes in the hibernating segments. In this review, these two subjects w...

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The Sleeping Heart : Hibernating Myocardium

Classical teaching about myocardial ischemia is now being challenged by exciting new concepts that have been evolving over the past two decades. It is now recognized that prolonged myocardial ischemia does not inevitably lead to irreversible necrosis of myocardial tissue. Similarly, segment dysfunction in the ventricle does not necessarily imply that the myocardium in that area has undergone in...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 1997

ISSN: 1010-7940

DOI: 10.1016/s1010-7940(97)01211-6