12.07.2015 Views

Siwan Choi, M.D. Chungnam National University

Siwan Choi, M.D. Chungnam National University

Siwan Choi, M.D. Chungnam National University

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Microvascular alterationin chronic coronary artery diseaseIncreased levels of ET and increased sensitivity to ET -1Sustained vasoconstrictionDecreased Shear stress Mitogenic & fibrogenic growthIncreased AG II & catecholaminesVSMC hypertrophy & proliferationMicrovascular hypertrophic remodeling: Increased wall thickness and stifffnessAggravate myocardial ischemia

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