Open Access e-Journal Cardiometry - No.15 November 2019

REPORT Submitted: 11.8.2019; Accepted: 7.9.2019; Published online: 21.12.2019
Performance of arteriovenous
shunts as an adaptational &
protective mechanism responsible
for the proper coronary
hemodynamics
Vladimir A. Lukyanchenko 1
1
The Heart Lab, Wellness Lifestyle Club
*
Corresponding author:
e-mail: cnmiridoc@gmail.com,
phone: +38 (095) 108-57-30, +7 (978) 746-65-40
Abstract
The paper presents issues on actions and effects made by the
discovered phenomena of shunting in the blood flow, when
blood is directed from large artery vessels into large-sized venous
vessels, on the hemodynamics profile of the proper heart.
According to the data delivered by the Cardiocode device, the
physiological interpretation of arteriovenous shunt opening to
provide an adequate blood circulation in the proper heart is
shown herein. Based on the discovered phenomena, it is concluded
that the opening of some individual shunts can be treated
as one of the flexible adaptational mechanisms responsible for
the maintenance of the required hemodynamics of the heart.
Keywords
Heart rate variability, HRV, Arteriovenous anastomoses, Blood
shunting, Hemodynamics of myocardium, Adaptational & protective
mechanisms of the heart
Imprint
Vladimir A. Lukyanchenko. Performance of arteriovenous shunts
as an adaptational & protective mechanism responsible for the
proper coronary hemodynamics. Cardiometry; Issue 15; November
2019; p.32-37; DOI: 10.12710/cardiometry.2019.15.3237;
Available from: http://www.cardiometry.net/issues/no15-november-2019/arteriovenous-shunts
Introduction
As a rule, it is the generally accepted interpretation
of the phenomenon of the arteriovenous anastomosing
that it produces a lot of pathophysiological shifts
and imbalances in a human organism, so that these
shifts and imbalances result mainly in a decrease in
the health reserve capability in a human individual.
In the majority of cases, patients, who show arteriovenous
anastomosing, have the same typical conditions
and report the similar complaints associated therewith.
In the terms of nosology, they may cover the following:
somatoform autonomic dysfunction, neurocirculatory
dystonia, cerebral crisis, cardiac neurosis,
panic attacks etc. However, we insist that an objective
assessment of the pathophysiological rationale of this
phenomenon leads to a conclusion that actually it is
an adaptational & protective mechanism of hemodynamics
of the proper heart that favors to higher survival
capability of a human individual.
Aims
The aim of this study is to take a fresh look at the
phenomenon of opening of arteriovenous anastomoses
and an effect produced by the latter on hemodynamics
of the human organism, including that made
on hemodynamics related to the proper heart. In doing
so, an objective assessment of the arteriovenous
anastomosing contribution and an adequate interpretation
of the pathophysiological rationale of arteriovenous
anastomosis opening are offered herein to
treat the phenomenon as the adaptational & protective
mechanism of hemodynamics of the proper heart.
Considering the flexible, adaptive & protective, nature
of this mechanism, however, it should be underlined
that the detection of this phenomenon in athletes always
requires further deeper assessment of their functional
reserve capacity/capability and their ability to
withstand heavy loading under conditioning both before
and in their competitions.
Materials and methods
When analyzing the reference literature, two tendencies
should be noticed: on the one hand, a mere set
of descriptive information about the existence of the
arteriovenous anastomosing can be found that does not
involve any practical or clinical interpretation thereof;
on the other hand, some researchers indicate that the
appearance of the arteriovenous anastomosing in a human
individual is accompanied by a number of clinical
symptoms or signs, which may be listed as follows:
vertigo, sudden blood pressure changes, a variety of
vegetovascular responses by the organism and signs of
panic attacks. All the symptoms and signs are treated by
32 | Cardiometry | Issue 15. November 2019