Zamir M
Department of Applied Mathematics, University of Western Ontario, Canada.
J Gen Physiol. 1988 May;91(5):725-35. doi: 10.1085/jgp.91.5.725.
The branching characteristics of the right coronary artery, acute marginal, posterior descending, left anterior descending, circumflex, and obtuse marginal arteries are compared with those of diagonal branches, left and right ventricular branches, septal, and higher-order branches, to test a newly proposed functional classification of the coronary arteries in which the first group rank as distributing vessels and the second as delivering vessels. According to this classification, the function of the first type is merely to convey blood to the borders of myocardial zones, while the function of the second is to implement the actual delivery of blood into these zones. This functional difference is important in the hemodynamic analysis of coronary heart disease, as it provides an assessment of the role of a vessel within the coronary network and hence an assessment of the functional importance of that vessel in a particular heart. Measurements from casts of human coronary arteries are used to examine the relevant characteristics of these vessels and hence to test the basis of this classification.
将右冠状动脉、急性边缘支、后降支、左前降支、回旋支和钝缘支的分支特征与对角支、左右心室支、间隔支和高阶分支的分支特征进行比较,以检验新提出的冠状动脉功能分类,其中第一组列为分布血管,第二组列为输送血管。根据这种分类,第一类的功能仅仅是将血液输送到心肌区域的边界,而第二类的功能是将血液实际输送到这些区域。这种功能差异在冠心病的血流动力学分析中很重要,因为它提供了对冠状动脉网络中某一血管作用的评估,从而评估该血管在特定心脏中的功能重要性。使用人体冠状动脉铸型的测量结果来检查这些血管的相关特征,从而检验这种分类的依据。