Clinical contribution of the collateral circulation to myocardial protection.
This section describes the clinical evidence for benefit from coronary collateral channels. There is data to suggest the presence of a protective effect in patients sustaining myocardial infarction regardless of whether they receive reperfusion therapy, and whether the collaterals were preformed. The role of pre-infarction angina in stimulating collateral development remains a contentious issue.
Smith
Robert D
RD
Department of Cardiology, Harefield Hospital, Royal Brompton and Harefield NHS Trust, Harefield, Middlesex, UK.
Ilsley
Charles D J
CD
D000787:Angina Pectoris / Q000503:physiopathology; D003097:Collateral Circulation; D006801:Humans; D009203:Myocardial Infarction / Q000503:physiopathology* / Q000628:therapy*