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Angiology
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Muscular Blood Flow in Patients with Heart Failure

Francesco Bellandi

Institute di Clinica Medica IV dell'Universita degli Studi di Florence, Florence, Italy

Maurizio De Scalzi

Institute di Clinica Medica II dell'Universita degli Studi di Florence, Florence, Italy

Vittorio de Leonardis

Institute di Clinica Medica II dell'Universita degli Studi di Florence, Florence, Italy

Luca Arena

Institute di Clinica Medica IV dell'Universita degli Studi di Florence, Florence, Italy

Brunella Belli

Institute di Clinica Medica IV dell'Universita degli Studi di Florence, Florence, Italy

Susanna Barbagli

Institute di Clinica Medica IV dell'Universita degli Studi di Florence, Florence, Italy

Giandomenico Morace

Institute di Clinica Medica IV dell'Universita degli Studi di Florence, Florence, Italy

Piero Cinelli

Institute di Clinica Medica II dell'Universita degli Studi di Florence, Florence, Italy

Giorgio Morace

Via L. Castaldi, 2/6 50139 Florence, Italy

We studied reactive hyperemia in a group of patients with heart failure before and after therapy, since changes in the characteristics of muscular blood flow may influence the functional class of these patients. At the same time we evaluated some echocardiographic parameters too.

When the patients improved clinically, they showed an increase in muscular blood flow at rest and in percent of fractional shortening and a decrease in peripheral vascular resistance. The reactive hyperemia did not change significantly.

This fact probably depends on a maximal response to the postischemic hyperemia and represents the integrity of autoregulatory mechanisms.

Angiology, Vol. 37, No. 9, 658-662 (1986)
DOI: 10.1177/000331978603700907


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