Mechanisms of Myocardial Ischemia

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چکیده

Myocardial ischemia develops when coronary blood flow becomes inadequate to meet the requirements of the myocardium for oxygen and metabolic substrates to maintain adequate cardiac function. Myocardial ischemia can result from (1) an increase of myocardial workload, and hence oxygen demand, in the presence of a f low-limit ing coronary artery stenosis or (2) a reduction of coronary blood flow caused by epicardial or microvascular coronary artery constriction or by acute thrombosis. These mechanisms may act in combination in some patients as well as in different ischemic episodes in a same patient (Fig. 46-5).50

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تاریخ انتشار 2005