Functional Assessment of Coronary Lesions in the Cath Lab

Autor:	Sofia Vaina, Dimitris Tousoulis
Rok vydání:	2018
Předmět:	medicine.medical_specialty Medical treatment Cath lab business.industry medicine.medical_treatment Fractional flow reserve medicine.disease Revascularization Coronary artery disease Stenosis Internal medicine medicine Cardiology Instantaneous wave-free ratio business Cut-point
DOI:	10.1016/b978-0-12-811908-2.00019-2
Popis:	It is important to identify those patients that will benefit from revascularization and those patients that will have an excellent prognosis on optimal medical treatment. Thus, there is a need of an easily performed diagnostic test in the cath lab that can accurately and reliably assess the physiological significance of a coronary artery stenosis. Fractional flow reserve (FFR) is a well-established method that has been proven to measure the functional significance of a stenosis. In the absence of a stenosis FFR is 1 and decreases depending on the significance of the stenosis. Instantaneous wave-free ratio (iFR) is a recently developed physiological index, which is obtained at rest without the need of hyperemic stimulation. Several trials have demonstrated that an iFR cut point of 0.89 matches an FFR cut point of 0.80.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::e7bd063aeb948b4df10b808a2ebbffe2 https://doi.org/10.1016/b978-0-12-811908-2.00019-2 Zobrazit plný text záznamu