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Coronary circulation is the circulation of blood in the blood vessels of the heart muscle (the myocardium). The vessels that deliver oxygen-rich blood to the myocardium are known as coronary arteries. The vessels that remove the deoxygenated blood from the heart muscle are known as coronary veins.
Preventing coronary circulation in humans can lead to a heart attack or myocardial ischemia, which occurs when the heart muscle is deprived of oxygen and nutrients. This can result in chest pain, shortness of breath, and damage to the heart muscle. In severe cases, it can lead to heart failure or even death.
Coronary circulation is the process by which blood is supplied to the heart muscle (myocardium) through the coronary arteries. Its primary purpose is to deliver oxygen-rich blood and essential nutrients to the heart tissue, enabling it to function effectively. This circulation also facilitates the removal of metabolic waste products, such as carbon dioxide, ensuring the heart remains healthy and efficient in pumping blood throughout the body. Proper coronary circulation is crucial for preventing conditions like ischemia and heart attacks.
If a coronary artery is blocked, the heart muscles will not get enough oxygen. This condition is known as ischemia. If the condition continues, the ischemia may lead to infarction, or death of tissue due to lack of oxygen.
Surgical procedures include percutaneous transluminal coronary angioplasty and coronary artery bypass graft surgery.
Myocardial ischemia or infarction. (Heart attack)
Myocardial ischemia is a coronary artery disease during which the heart tissue is slowly or suddenly starved of oxygen and other nutrients. Eventually, the affected heart tissue will die.
likely due to coronary artery vasospasm, which can result in transient ischemia. Nitroglycerin dilates coronary arteries, increasing blood flow to the affected area and relieving the spasm-induced wall motion abnormality. It is important to investigate the underlying cause of vasospasm and address any coronary artery disease risk factors.
Tachycardia, or an elevated heart rate, can impair coronary artery perfusion by reducing the time available for diastolic filling when the heart relaxes. Since coronary blood flow primarily occurs during diastole, an increased heart rate shortens this phase, potentially leading to insufficient oxygen delivery to the myocardium. This can exacerbate conditions like ischemia, especially in individuals with existing coronary artery disease. Additionally, the increased myocardial oxygen demand associated with tachycardia can further strain the coronary circulation.
Percutaneous transluminal coronary angioplasty is a nonsurgical procedure in which a catheter tipped with a balloon is threaded from a blood vessel in the thigh into the blocked artery to open the artery.
Surgical procedures include percutaneous transluminal coronary angioplasty, coronary artery bypass graft surgery and experimental procedures; atherectomy; laser angioplasty; stent implants.
Left ventricular strain refers to a condition where the left ventricle of the heart experiences abnormal stress or strain, often due to conditions like hypertension or heart disease, leading to impaired function. Left lateral ischemia specifically indicates insufficient blood flow to the left side of the heart, particularly affecting the lateral wall, which can result from blockages in coronary arteries. This ischemia can lead to chest pain, reduced heart function, and potentially heart damage if untreated. Both conditions require medical evaluation and management to prevent complications.