Myocardial perfusion during cardiopulmonary resuscitation (CPR): Effects of 10, 25 and 50% coronary stenoses

Karl B. Kern, Bernardo De La Guardia, Gordon A. Ewy

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Myocardial blood flow under normal physiologic conditions remains relatively unaltered by coronary lesions with diameter stenosis of less than 70%. However, during cardiac arrest and cardiopulmonary resuscitation (CPR), autoregulation of coronary blood flow is compromised. We studied the effect of previously considered 'trivial' coronary stenoses of 10, 25 and 50% on distal myocardial perfusion in 39 swine undergoing CPR for cardiac arrest. Endocardial blood flow distal to the stenosis was significantly less than that proximal in all the different stenoses groups (P<0.05). A 50% diameter stenosis also compromised epicardial blood flow distal to the stenosis (P<0.05). This study suggests that any coronary lesion may compromise myocardial perfusion during CPR. Since the vast majority of cardiac arrest victims have coronary artery disease, careful attention to maximizing myocardial blood flow during CPR is needed. Copyright (C) 1998 Elsevier Science Ireland Ltd.

Original languageEnglish (US)
Pages (from-to)107-111
Number of pages5
JournalResuscitation
Volume38
Issue number2
DOIs
StatePublished - Aug 1 1998
Externally publishedYes

Keywords

  • Cardiopulmonary resuscitation
  • Coronary stenoses
  • Myocardial perfusion

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine

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