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Physiologic approach for coronary intervention
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 sy...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Association of Internal Medicine
2013
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3543947/ https://www.ncbi.nlm.nih.gov/pubmed/23345989 http://dx.doi.org/10.3904/kjim.2013.28.1.1 |
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author | Fearon, William F. |
author_facet | Fearon, William F. |
author_sort | Fearon, William F. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3543947 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | The Korean Association of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-35439472013-01-23 Physiologic approach for coronary intervention Fearon, William F. Korean J Intern Med Review 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. The Korean Association of Internal Medicine 2013-01 2012-12-28 /pmc/articles/PMC3543947/ /pubmed/23345989 http://dx.doi.org/10.3904/kjim.2013.28.1.1 Text en Copyright © 2013 The Korean Association of Internal Medicine http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Fearon, William F. Physiologic approach for coronary intervention |
title | Physiologic approach for coronary intervention |
title_full | Physiologic approach for coronary intervention |
title_fullStr | Physiologic approach for coronary intervention |
title_full_unstemmed | Physiologic approach for coronary intervention |
title_short | Physiologic approach for coronary intervention |
title_sort | physiologic approach for coronary intervention |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3543947/ https://www.ncbi.nlm.nih.gov/pubmed/23345989 http://dx.doi.org/10.3904/kjim.2013.28.1.1 |
work_keys_str_mv | AT fearonwilliamf physiologicapproachforcoronaryintervention |