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Open Access 01-06-2017 | Editor’s Comment

Coronary physiology revisited

Author: J. J. Piek

Published in: Netherlands Heart Journal | Issue 6/2017

Excerpt

Coronary angiography is still the gold standard in the diagnosis of coronary artery disease, although its limitations in the assessment of haemodynamic severity of epicardial stenosis are widely recognised [1, 2]. In the 1990s, these limitations of angiography led to the introduction of sensor-equipped guidewires measuring pressure and flow to optimise the diagnostic workup during cardiac catheterisation. …

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Piek JJ, Boersma E, di Mario C, et al. Angiographical and Doppler flow-derived parameters for assessment of coronary lesion severity and its relation to the result of exercise electrocardiography. DEBATE study group. Doppler Endpoints Balloon Angioplasty Trial Europe. Eur Heart J. 2000;21(6):466–74.CrossRefPubMed

Meuwissen M, Chamuleau SAJ, Siebes M, et al. Role of variability in microvascular resistance on fractional flow reserve and coronary blood flow velocity reserve in intermediate coronary lesions. Circulation. 2001;103(2):184–7.CrossRefPubMed

Davies JE, Dehbi HM, Al-Lamee R, et al. Use of the instantaneous wave-free ratio or fractional flow reserve in PCI. N Engl J Med. 2017 Epub ahead of print doi:10.1056/nejmoa1700445.

Gotberg M, Christiansen EH, Gudmundsdottir I, et al. Instantaneous wave-free ratio versus fractional flow reserve guided intervention (iFR-SWEDEHEART): rationale and design of a multicenter, prospective, registry-based randomized clinical trial. N Engl J Med. 2017 Epub ahead of print.

Kern MJ, Lerman A, Bech JW, et al. Physiological assessment of coronary artery disease in the cardiac catheterization laboratory: a scientific statement from the American Heart Association Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology. Circulation. 2006;114(12):1321–41.CrossRefPubMed

Escaned J, Echavarria-Pinto M, Garcia-Garcia HM, et al. Prospective assessment of the diagnostic accuracy of instantaneous wave-free ratio to assess coronary stenosis relevance: results of ADVISE II international, multicenter study (ADenosine Vasodilator Independent Stenosis Evaluation II). JACC Cardiovasc Interv. 2015;8(6):824–33.CrossRefPubMed

Johnson NP, Kirkeeide RL, Gould KL. Is discordance of coronary flow reserve and fractional flow reserve due to methodology or clinically relevant coronary pathophysiology? JACC Cardiovasc Imaging. 2012;5(2):193–202.CrossRefPubMed

van de Hoef TP, Echavarria-Pinto M, van Lavieren MA, et al. Diagnostic and prognostic implications of coronary flow capacity: a comprehensive cross-modality physiological concept in ischemic heart disease. JACC Cardiovasc Interv. 2015;8(13):1670–80.CrossRefPubMed

10.

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Title: Coronary physiology revisited
Author: J. J. Piek
Publication date: 01-06-2017
Publisher: Bohn Stafleu van Loghum
Published in: Netherlands Heart Journal / Issue 6/2017
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI: https://doi.org/10.1007/s12471-017-0982-3

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