Physiologic approach for coronary intervention
The Korean Journal of Internal Medicine
;
: 1-7, 2013.
Article
in English
| WPRIM
| ID: wpr-108751
ABSTRACT
When invasively assessing coronary artery disease, the primary goal should be to determine whether the disease is causing a patient's symptoms and whether it is likely to cause future cardiac events. The presence of myocardial ischemia is our best gauge of whether a lesion is responsible for symptoms and likely to result in a future cardiac event. In the catheterization laboratory, fractional flow reserve (FFR) measured with a coronary pressure wire is the reference standard for identifying ischemia-producing lesions. Its spatial resolution is unsurpassed with it not only being vessel-specific, but also lesion-specific. There is now a wealth of data supporting the accuracy of measuring FFR to identify ischemia-producing lesions. FFR-guided percutaneous coronary intervention of these lesions results in improved outcomes and saves resources. Non-hemodynamically significant lesions can be safely managed medically with a low rate of subsequent cardiac events.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Coronary Artery Disease
/
Cardiac Catheterization
/
Predictive Value of Tests
/
Treatment Outcome
/
Patient Selection
/
Coronary Circulation
/
Fractional Flow Reserve, Myocardial
/
Percutaneous Coronary Intervention
/
Hemodynamics
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Internal Medicine
Year:
2013
Type:
Article
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