ABSTRACT

Myocardial ischemia is a state of myocardial impairment, which results from inadequate coronary perfusion of oxygenated blood relative to the metabolic demands of the myocardium.1-3 Thus, ischemic heart disease involves an imbalance in the normal integrated function of the coronary vasculature and the myocardium. The major consequences of myocardial ischemia are depressed myocardial contractile function, arrhythmias, and myocardial necrosis (infarction).