Past, Present and Future of Coronary Physiology

被引：0
|
作者：
Warisawa, Takayuki [1 ,2 ]
Cook, Christopher M. [1 ]
Akashi, Yoshihiro J. [2 ]
Davies, Justin E. [1 ]
机构：
[1] Imperial Coll London, Natl Heart & Lung Inst, Int Ctr Circulatory Hlth, London, England
[2] St Marianna Univ, Sch Med, Dept Internal Med, Div Cardiol, Kawasaki, Kanagawa, Japan
来源：
REVISTA ESPANOLA DE CARDIOLOGIA | 2018年 / 71卷 / 08期
关键词：
Coronary physiology; Fractional flow reserve; Instantaneous wave-free ratio; FRACTIONAL FLOW RESERVE; WAVE-FREE RATIO; OPTICAL COHERENCE TOMOGRAPHY; INTRAVASCULAR ULTRASOUND CRITERIA; COMBINED INTRACORONARY PRESSURE; STENOSIS SEVERITY; DIAGNOSTIC-ACCURACY; FUNCTIONAL-SIGNIFICANCE; ARTERY STENOSIS; SIDE-BRANCH;
D O I：
10.1016/j.recesp.2018.01.021
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
It is well known that the apparent significant coronary stenosis on angiography sometimes does not cause significant ischemia, and vice versa. For this reason, decision-making based on coronary physiology is becoming more and more important. Fractional flow reserve (FFR), which has emerged as a useful tool to determine which lesions need revascularization in the catheterization laboratory, now has a class IA indication in the European Society of Cardiology guidelines. More recently, the instantaneous wave-free ratio, which is considered easier to use than FFR, has been graded as equivalent to FFR. This review discusses the concepts of FFR and instantaneous wave-free ratio, current evidence supporting their use, and future directions in coronary physiology. (C) 2018 Sociedad Espanola de Cardiologia. Published by Elsevier Espana, S.L.U. All rights reserved.
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页码：656 / 667
页数：12
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