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FURTHER STUDIES OF THE EFFECTS OF CARDIAC IRRADIATION UPON MYOCARDIAL VASCULARITY

Journal Article · · Surgery (U.S.)
OSTI ID:4714929
Experiments in dogs were undertaken to test the ability of cardiac irradiation to induce coronary arterial collateral circulation. Dogs received 2000 r cardiac irradiation and were subjected to ligation of the left circumflex coronary artery at its origin 7 days after irradiation. Only 8% of the nonirradiated dogs survived 48 hr or longer after the ligation in contrast to 40% of the irradiated dogs. Irradiated dogs also exhibited better electrocardiograms, greater intercoronary flow, and more vascular hearts as determined by corrosion studies. Electrocardiograms taken 2 to 7 hr after ligation in nonirradiated dog hearts, which did not fibrillate, showed the presence of severe infarctions with marked S-T elevations, also ventricular tachycardia, flutter with varying degrees of block or complete heart block. The electrocardiograms of irradiated animals also showed evidence of infarction but the S-T segments were not so sharply elevated. The results show that cardiac irradiation induced a dilatation of the intercoronary anastomotic bed, thus accounting for increased survival rate and retrograde blood flow regardless of which portion of the heart vasculature is ligated. (TCO)
Research Organization:
Mt. Sinai Hospital, New York
NSA Number:
NSA-17-021568
OSTI ID:
4714929
Journal Information:
Surgery (U.S.), Journal Name: Surgery (U.S.) Vol. Vol: 49; ISSN SURGA
Country of Publication:
Country unknown/Code not available
Language:
English

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