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Coronary Artery Disease

Coronary Artery Disease

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Published by: sarguss14 on Jan 30, 2009
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08/17/2013

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Coronary Artery
Coronary Artery
Disease
Disease
(Ischemic Heart Disease)
(Ischemic Heart Disease)
Bernardo D. Morantte Jr. M.D.
Bernardo D. Morantte Jr. M.D.
Dept. of Medicine
Dept. of Medicine
College of Medicine
College of Medicine
Pamantansan Ng Lungsod Ng
Pamantansan Ng Lungsod Ng
Maynila
Maynila
Anatomy of the Coronary
Anatomy of the Coronary
Arteries
Arteries
RCA
SA nodal
artery
RV branch
LV
branch
Posterior descending
branch
LCA
LMCA
Diagonal
Left anterior
descending
Bx
Circumflex
Obtuse marginal
Postero-lateral
Posterior circumflex
Septal
perforator
Aorta
Physiology of Coronary
Physiology of Coronary
Circulation
Circulation
\ue000Myocardial perfusion occurs mainly
Myocardial perfusion occurs mainly
in diastole
in diastole
EpicardiumEndocardium
LV
Intramural arteries
BP 120/60
LV pressure120 /10
Diastolic pressure gradient = 50 mm HG
< 40 mm mean aortic pressure
coronary flow is zero.
Subendocardium
Epicardial artery

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