Abstract
It has now become clear that the physiological and pharmacological behaviour of vascular smooth muscle, particularly in the coronary circulation, is abnormal throughout the evolution of atherosclerosis. This chapter reviews these pathophysiological alterations and the consequently modified (or even paradoxical) pharmacological characteristics of coronary vasculature. Clinical and experimental studies on atherosclerotic coronary arteries have demonstrated an abnormal vasoconstriction in response to various pharmacological agents which induce vasodilation in non-atherosclerotic arteries. Intracoronary injection of ACh or 5-HT in man induces a dose-dependent vasoconstrictor response in segments with atherosclerotic damage but the vasodilator response to nitroglycerin is intact.
Original language | English |
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Title of host publication | The Pharmacology of Vascular Smooth Muscle |
Editors | C. J. Garland, J. A. Angus |
Place of Publication | New York NY USA |
Publisher | Oxford University Press, USA |
Pages | 328-340 |
Number of pages | 13 |
ISBN (Electronic) | 9780191724671 |
ISBN (Print) | 9780192623874 |
DOIs | |
Publication status | Published - 1996 |
Externally published | Yes |
Keywords
- Acetylcholine
- Coronary arteries
- Coronary circulation
- Coronary vasculature
- Vasoconstriction
- Vasodilation