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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1996-10-22
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pubmed:abstractText |
Serotonin constricts coronary arteries with endothelial dysfunction, a common abnormality in cardiac transplant recipients. To assess whether endothelial dysfunction is associated with myocardial blood flow (MBF) abnormalities, 24 patients were studied 1 to 12 months after transplantation. Serotonin in increasing doses (1, 10, and 20 micrograms/min for 2.5 min each) was infused into the coronary circulation. Diameters were measured by quantitative angiography. Fourteen patients (group A) had a pronounced artery constriction (diameter reduction > 40%), while in 10 other patients (group B), such a constriction was never reached. No patient had evidence of rejection and all had angiographically normal coronary arteries. MBF was measured at rest and after intravenous dipyridamole with dynamic nitrogen-13 ammonia positron emission tomography (PET). The resting MBF was higher in group A than in group B (94 +/- 12 vs 74 +/- 15 ml/min/100 g of tissue; p < 0.05). During dipyridamole, MBF was not significantly different (191 +/- 53 vs 184 +/- 64 ml/min/100 g; p = NS). Coronary flow reserve (the ratio of perfusion after dipyridamole to perfusion at rest) was significantly lower in group A than in group B (2.08 +/- 0.54 vs 2.66 +/- 0.57; p < 0.05). Thus, coronary hypersensitivity to serotonin in cardiac transplant recipients is associated with elevated resting MBF and reduced coronary flow reserve. Immune mechanisms inducing endothelial injuries and inflammation-related hyperemia may account for these abnormalities.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
78
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
550-4
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8806341-Coronary Circulation,
pubmed-meshheading:8806341-Coronary Vessels,
pubmed-meshheading:8806341-Endothelium, Vascular,
pubmed-meshheading:8806341-Female,
pubmed-meshheading:8806341-Heart,
pubmed-meshheading:8806341-Heart Transplantation,
pubmed-meshheading:8806341-Hemodynamics,
pubmed-meshheading:8806341-Humans,
pubmed-meshheading:8806341-Male,
pubmed-meshheading:8806341-Middle Aged,
pubmed-meshheading:8806341-Postoperative Period,
pubmed-meshheading:8806341-Regional Blood Flow,
pubmed-meshheading:8806341-Tomography, Emission-Computed,
pubmed-meshheading:8806341-Vasomotor System
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pubmed:year |
1996
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pubmed:articleTitle |
Coronary vasomotility and myocardial blood flow early after heart transplantation.
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pubmed:affiliation |
Department of Cardiology, Erasme Hospital, Free University of Brussels, Belgium.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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