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

in Figure 2 above, which is known to provide the best
conditions for the maintenance of the adequate coronary
hemodynamics (see Figure 5 herein).
Our factual data are sufficient to allow definite
conclusions that the above anastomosing phenomenon
is an adaptational & protective mechanism responsible
for the recovery of the coronary flow under
inadequate or unfavorable conditions in a human organism
(as exhibited in Figure 3 and Figure 4 herein).
Results and Discussions
Upon completion of our original studies carried
out with the use of Hemodynamic Analyzer Cardiocode,
we have detected some individual cases of the
phenomena of a pressure amplitude decrease identified
according to the rheographic curve that is evidence
for opening of arteriovenous anastomoses. The
above described individual phenomena have not been
accompanied by any clinical manifestations or complaints.
The detected phenomena of anastomosing is a
clear marker that there are non-optimal conditions for
hemodynamics, which deplete the coronary flow and
initiate the energy deprivation of the myocardium. At
the same time, the author cannot state that the detection
of some individual cases of opening of anastomoses
should be attributed to these circumstances only
and exclusively. Within the context, the author thinks
it is most likely to be one of the flexible adaptational
mechanisms responsible for and capable of recovering
an adequate coronary flow and providing the proper
energy delivery to the cardiac muscle.
Conclusions
Our topical research study has made it possible to
detect some individual phenomena covering opening
of arteriovenous anastomoses, and it is capable of
offering one of the reasonable attributable explanations
thereof. Besides, the study gives us a possibility
to take a fresh look at the mechanism of the operation
of the arteriovenous anastomoses and revise the
conventional concept of interpreting anastomosing
as an unfavorable pathophysiological response by a
human organism. Our comparative analytical study
of the cardiometric data on the states in the well-conditioned
athletes provides for clear reference markers
and indicators of those cardiometric conditions,
which are the most favorable for athletes, who should
withstand heavy loads in the proper manner and who
require high energy consumption to provide an adequate
energy delivery to the myocardium. The detection
of non-optimal cardiometric conditions, which
cannot maintain the proper coronary flow in some
athletes and which result in opening of arteriovenous
anastomoses in some individual cases as adaptational
& protective response produced by the organism,
shows that there is lack of conditioning of the athlete
in question, so that his/her heart preparedness to
accept heavy loading in sports competitions may be
doubtful. As a consequence, some specific treatment
techniques, health-maintenance and training measures
may be required to improve the coronary flow
hemodynamics parameters.
Statement on ethical issues
Research involving people and/or animals is in full
compliance with current national and international
ethical standards.
Conflict of interest
None declared.
Author contributions
The authors read the ICMJE criteria for authorship
and approved the final manuscript.
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36 | Cardiometry | Issue 15. November 2019