کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5945950 | 1172356 | 2014 | 4 صفحه PDF | دانلود رایگان |
BackgroundIn our previous study, we had shown that high diastolic blood pressure (DBP) was positively related to well-developed coronary collateral circulation (CCC). This study sought to find out the more precise relationship between DBP and CCC.Methods and resultsTo investigate this, we conducted a study of 671 patients with single chronic total occlusion of coronary artery. The DBP of the patients was divided into six groups: â¤65 mmHg, >65-â¤75 mmHg, >75-â¤85 mmHg, >85-â¤95 mmHg, >95-â¤105 mmHg, >105 mmHg). The extent of CCC was graded as poorly-developed or well-developed collaterals according to Rentrop classification. There was a J-curve relationship between the level of DBP and the incidence of poorly-developed collaterals.ConclusionThe relationship between DBP and CCC is similar to the J-curve relationship between DBP and cardiovascular risk. The influence of DBP on the development of CCC may be one of the pathophysiologic mechanisms of the J-curve phenomenon relating DBP to cardiovascular risk.
Journal: Atherosclerosis - Volume 232, Issue 1, January 2014, Pages 220-223