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Collateral Circulation - Articles

Who said coronary collateral circulation can not support excercise ? by Dr. Sangareddi V. Medical Doctor Posted Thu 03 Feb 2011 12:46pm Coronary collateral circulation is probably the most poorly understood circulation than any other.This  is ignorance at it’s best ,  in spite of the life saving potential  of this circulation. A popular  (mis )perception is  coronary collaterals  can support only  resting blood flow and it would  struggle  to compensate at times of exertion. Th ... Read on »
Importance of coronary collateral circulation : A great insight from a patient’s personal account ! by Dr. Sangareddi V. Medical Doctor Posted Tue 02 Oct 2012 6:40am Hi all , I get frequent comments about my blog. I do try to answer many of them . This is a very unique one , and it is making me think further.Since he has specifically wished his clinical data could be eye opener for others ,  I am jut posting it here . The comment was in response to my article  Who said coronary collateral circulation wi ... Read on »
How do you know your coronary circulation has the blessings of God ? by Dr. Sangareddi V. Medical Doctor Posted Sun 17 Apr 2011 10:16pm Coronary collateral circulation can be termed as one of the  mysterious  circulation in our body.Cardiologists generally do not  give much importance to it and some interventionists even ridicule it !  . But  ,  God has given it ,  with  a purpose. He adds a riddle though !  .Collaterals  grow  in  almost  every  individual  when   obstruction ... Read on »
What we don’t know about coronary collaterals ? by Dr. Sangareddi V. Medical Doctor Posted Thu 16 Apr 2009 11:54pm Coronary collateral circulation is the God’s gift to mankind.It has potential  benefits  ( and  of course real benefit !)  both during acute and chronic coronary syndrome. Collaterals in CCS The classical role of coronary collateral is in patients with chronic stable angina.It is quiet common to see patients with totally occluded  LAD o ... Read on »
Septal STEMI with lateral ST depression, then has collateral reperfusion resulting in Wellens' waves by Stephen Smith Posted Wed 20 Mar 2013 5:24pm A middle-aged male presented with 1.5 hours of 8/10 chest pain associated with diaphoresis and vomiting.  He has a prior history of untreated hypertension and hyperlipidemia, and is a current smoker. He called 911. Prehospital vitals were normal, and there was no change in pain with 2 sublingual NTG.  Here is his first ED ECG, ... Read on »
Can coronary collaterals provide more blood flow than a CABG ? by Dr. Sangareddi V. Medical Doctor Posted Sun 29 Mar 2009 3:50pm Coronary collateral circulation is the most poorly understood, and often neglected concept among the cardiology community.There is a general perception , in obstructive CAD ,  coronary collaterals are an inferior modality of  back up blood supply than artificial collateral (Also called CABG ) ! One of the reasons,  it is   been ridiculed by m ... Read on »
100 % money back scheme . . . new benefits with coronary collaterals ! by Dr. Sangareddi V. Medical Doctor Posted Thu 29 Dec 2011 9:45pm A middle aged man who owns a petty shop in a small  town of south India   came to us for stable angina .His RCA looked like this. Normally if one coronary artery is obstructed the other comes to the rescue .It seems , this RCA do not trust it’s sibling LAD . See how it  self supports  its own  territory .(The most fascinating and mys ... Read on »
Implications of bridging collaterals by Dr. Sangareddi V. Medical Doctor Posted Thu 10 Feb 2011 12:31pm Coronary collateral circulation continues to be a poorly understood phenomenon. It reduces the impact  of ischemia , salvage myocardium, keep it viable, and  can  even  be  life saving during a STEMI It can support either the same coronary artery  or the contra lateral coronary artery (Like the above patient ) The usef ... Read on »
Bypassing the Bye Pass by Dr Gowthaman Facebook Posted Thu 23 Sep 2010 11:12pm 2 Comments BYPASSING THE BYPASS – AN NON INVASIVE INTEGRATIVE SOLUTION TO CADBy Dr Gowthaman, Medical Director, rVita health center (  The heart is a strong muscular pump. The heart pumps blood to nourish all parts of the body, including itself. It is responsible for pumping about 3,000 gallons of blood throughout the body every day. The blood t ... Read on »
Circumflex Occlusion May be Subtle or Invisible on the ECG by Stephen Smith Posted Fri 14 Aug 2009 6:48pm Case 1 Below are 2 cases of circumflex or obtuse marginal (branch of circumflex) occlusions showing how subtle they may be: A 52 y.o. male presents because he "thought he might be having a heart attack." He reports intermittent CP and SOB for 2-3 days. Pain worsened and became sharper after lifting a bookcase up the stairs. He continued ... Read on »