Bell D R, Sabbah H N, Stein P D
Henry Ford Heart and Vascular Institute, Detroit, MI 48202.
Arteriosclerosis. 1989 Mar-Apr;9(2):167-75. doi: 10.1161/01.atv.9.2.167.
Multiple-range, gate-pulsed Doppler velocimetry was used to examine the velocity profile within the lumen of the left circumflex and left anterior descending coronary arteries of 10 anesthetized, open-chest dogs at rest and after administration of propranolol and intracoronary adenosine. The peak diastolic and mean profiles of velocity were skewed away from the inner walls of the vessels (p less than 0.01). The extent of skewness was not affected by propranolol or adenosine. The shear rates were significantly lower along the inner wall in comparison to the outer wall under all conditions in both the left circumflex and the left anterior descending coronary arteries (p less than 0.017). Irrespective of the levels of flow, therefore, the velocity profiles were skewed away from the inner wall of the coronary arteries. Consequently, the shear rates were lower along the inner walls of the coronary arteries.
采用多量程、门控脉冲多普勒测速法,对10只麻醉开胸犬在静息状态下以及给予普萘洛尔和冠状动脉内腺苷后,左回旋支和左前降支冠状动脉管腔内的速度分布进行了检测。舒张期峰值速度和平均速度分布均偏离血管内壁(p<0.01)。偏斜程度不受普萘洛尔或腺苷的影响。在左回旋支和左前降支冠状动脉的所有情况下,与外壁相比,内壁处的剪切速率均显著较低(p<0.017)。因此,无论血流水平如何,速度分布均偏离冠状动脉内壁。结果,冠状动脉内壁处的剪切速率较低。