Leslie A. Kuhn, M.D., F.A.C.P.; Howard J. Kline, M.D.; Robert I. Hamby, M.D.; Anthony J. Marano Jr., M.D.; Lawrence J. Cohn, M.D.; Marvin Berger, M.D.
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In an attempt to improve myocardial performance in acute myocardial infarction with shock, increments of coronary perfusion pressure were achieved by partial obstruction of the abdominal aorta with a balloon catheter introduced via a femoral artery in 28 dogs with plastic sphere coronary embolization. Alterations of central aortic pressure, coronary sinus flow, cardiac output, left atrial pressure, left ventricular work, left ventricular oxygen consumption, coronary vascular resistance, left ventricular mechanical efficiency, and left ventricular lactate and pyruvate extraction were determined before and after coronary embolization and at intervals during 1 hour of abdominal aortic obstruction. After coronary embolization, aortic pressure,
Kuhn LA, Kline HJ, Hamby RI, Marano AJ, Cohn LJ, Berger M. Hemodynamic and Cardiac Metabolic Effects of Increasing Coronary Flow by Mechanical Increase of Vascular Resistance in Acute Myocardial Infarction with Shock.. Ann Intern Med. ;64:1155. doi: 10.7326/0003-4819-64-5-1155_1
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Published: Ann Intern Med. 1966;64(5):1155.
Acute Coronary Syndromes, Cardiology, Coronary Heart Disease, Emergency Medicine.
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