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1Department of Medicine and Department of Physiology and Biophysics, University of Calgary, Calgary, Alberta, Canada T2N 4N1; and 2Physiological Flow Studies Group, Department of Biological and Medical Systems, Imperial College of Science, Technology, and Medicine, London SW7 2AZ, United Kingdom
Submitted 14 December 2001 ; accepted in final form 9 November 2003
Wave-intensity analysis, which separates upstream from downstream events and defines their interaction, has been used to study the effects of changes in left ventricular (LV) contractility (Emax) and left circumflex coronary artery resistance (RLCx) on the coronary systolic flow impediment (CSFI). In 10 anesthetized, open-chest dogs, we measured coronary, aortic, and LV pressures, coronary velocity (Flowire), and flow. Emax was increased by paired pacing and RLCx was modulated by intracoronary infusions of vasodilators (adenosine and nitroglycerin) and a vasoconstrictor (phenylephrine). When both Emax and RLCx were varied, CSFI and the energy of the backward-going compression wave (IW) were greatest at the highest levels of Emax and the lowest levels of RLCx. IW was proportional to the CSFI. We conclude that contractility and coronary resistance change CSFI by modulating the backward-going compression wave.
wave intensity analysis; coronary flow impediment
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