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 occurs gradually ( chronic coronary syndrome ) but only in a few , it will open up during a real emergency like ACS !
How and why , only few of us can recruit coronary collaterals during acute occlusion ?
God blesses acute coronary collaterals only in selected few , who are on the right side of his good books .This can be the other name for our destiny !
Role of coronary collateral circulation in acute coronary syndrome.
- Limits infarct size and volume
- Promotes salvage
- Converts q MI to non q MI
- Prevents Unstable angina from becoming MI
- Prevent primary VT and VF*
All of the above can be vital in saving a life . Even as we realise 30 % of STEMI do not even reach hospital , it seems certain men and women with early collateral recruitment will never fail to reach the hospital alive
Is there a simple method to identify people who are blessed with acutely recruitable collaterlas ?
I am afraid it is almost equal to asking for a glimpse of GOD !
Wait . . . when we were on cath lab few days ago a stunning phenomenon happened that could pave way for identifying potential acute collaterals in any human being. Follow this site . . .the details will be posted !
Dr.S.Venkatesan MD 
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