Abstract
1. 1. Synchronized arterial counterpulsation is an effective method for reducing mean systolic pressure and myocardial oxygen consumption while maintaining coronary perfusion. 2. 2. Further evidence is presented to emphasize the dominant role of pressure work as the determinant of myocardial oxygen consumption in the intact beating heart. 3. 3. Coronary flow can be altered by changes in diastolic pressure, irrespective of myocardial oxygen need or metabolism. 4. 4. Arterial counterpulsation appears to be an excellent method of assisting the failing myocardium and merits further investigation and application.
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