title: [The coronary hyperemic reaction in scleroderma].
abstract: Functional, organic and vascular anomalies could play an important role in systemic scleroderma. We have studied the coronary hyperemic reaction in subjects with primitive sclerodermatous cardiomyopathy, in order to specify the vascular anomalies. The coronary hyperemic reaction consists of a transient rise in coronary flow after selective injection of a contrast agent into the left coronary artery. In sclerodermatous subjects this coronary hyperemic reaction is significantly smaller than in control subjects. This limitation of the hyperemic reaction reflects a decrease in the ability of small arteries or coronary arterioles to dilate in sclerodermatous subjects. This anomaly could play an important role in primitive sclerodermatous cardiomyopathy.
mesh_terms: D006328:Cardiac Catheterization; D003287:Contrast Media / Q000009:adverse effects / Q000494:pharmacology; D017023:Coronary Angiography; D003326:Coronary Circulation / Q000187:drug effects*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006940:Hyperemia / Q000139:chemically induced*; D008297:Male; D008875:Middle Aged; D012595:Scleroderma, Systemic / Q000503:physiopathology*
chemical_list: D003287:Contrast Media
vernacular_title: La réaction hyperémique coronaire dans la sclérodermie.