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Think of it as like a shower head. The more you turn up the dial (blood pressure), the stronger the water shoots out of the head (coronary perfusion rate).

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Q: How is coronary perfusion rate related to blood pressure?
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Coronary perfusion pressure?

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Transmural perfusion pressure represents the amount of pressure in the coronary arteries that supply the layers of the heart muscle (the TRANSMURAL part). The formula is: Aortic diastolic pressure - LVEDP (L Ventricle End Diastolic Pressure). Keep in mind the coronaries ONLY receive blood during diastole because of the twisting forces applied on the heart during systole.


What is the movement of blood around heart tissue called?

The movement of blood to the heart tissue is called myocardial perfusion. In order for the myocardium (the heart muscle) to get oxygen and nutrients it has its own circulation providing a blood supply known as the coronary circulation. The coronary arteries (oxygenated blood vessels of the heart) supply nutrients and oxygen to the heart muscles between heart beats when the heart is relaxed (during diastole). Blood is routed from the surface of the heart muscle to deeper tissues of the myocardium. After delivering oxygen and nutrients to the cells of the heart, coronary veins pick up the blood and route it into the pulmonary (lungs) circulation where it can become re-oxygenated and return oxygenated blood back to the heart.


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