Assessment of coronary hemodynamics and vascular function

Prog Cardiovasc Dis. 2015 Mar-Apr;57(5):423-30. doi: 10.1016/j.pcad.2014.11.006. Epub 2014 Nov 20.

Abstract

Coronary blood flow closely matches to metabolic demands of heart and myocardial oxygen consumption and is conditioned by function of coronary resistance vessels. The microvascular endothelium of coronary resistance vessels is exposed to a spatially and temporally regulated input from cardiomyocytes and the haemodynamic forces of the cardiac cycle. Functional measurements of coronary pressure and flow are important approaches that provide complementary information on the function of coronary vessel function that could not be assessed by the methods utilized for the anatomic characterization of coronary disease, such as coronary angiography. The goal of this paper is to review the methodologies for assessment of coronary vascular function and haemodynamics which are utilized in research and to discuss their potential applicability in the clinical settings.

Keywords: Coronarography; Coronary blood flow; Coronary pressure; Coronary resistance vessels.

Publication types

  • Review

MeSH terms

  • Animals
  • Biomarkers / blood
  • Coronary Circulation*
  • Coronary Disease / blood
  • Coronary Disease / diagnosis*
  • Coronary Disease / physiopathology
  • Coronary Vessels / metabolism
  • Coronary Vessels / physiopathology*
  • Diagnostic Techniques, Cardiovascular*
  • Hemodynamics*
  • Humans
  • Predictive Value of Tests
  • Prognosis

Substances

  • Biomarkers