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Open Access 01-12-2015 | Case report

Fractional flow reserve of non-culprit vessel post-myocardial infarction: is it reliable?

Authors: Luís Leite, Joana Moura Ferreira, João Silva Marques, Elisabete Jorge, Vítor Matos, Jorge Guardado, João Calisto, Mariano Pego

Published in: BMC Cardiovascular Disorders | Issue 1/2015

Abstract

Background

Multi-vessel disease is frequent in patients presenting with myocardial infarction and have an important prognostic impact. The decision to proceed to revascularization in non-culprit vessels can be postponed until ischemia is proven in non-invasive stress tests. On the other hand, there is an increasing evidence to support the role of fractional flow reserve (FFR) in acute coronary syndrome setting.

Case presentation

We report a case in which a FFR-guided strategy for non-culprit vessels, 3 weeks after an ST-segment elevation myocardial infarction, was followed by a short-term sub-occlusion of the evaluated vessel.

Conclusion

The timing of the coronary microcirculation recovery post-myocardial infarction, avoiding a possible false negative FFR, and the diagnostic gaps between ischemia and plaque vulnerability are under discussion. An FFR-guided strategy in this setting should be interpreted with caution.

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Title: Fractional flow reserve of non-culprit vessel post-myocardial infarction: is it reliable?
Authors: Luís Leite
Joana Moura Ferreira
João Silva Marques
Elisabete Jorge
Vítor Matos
Jorge Guardado
João Calisto
Mariano Pego
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: BMC Cardiovascular Disorders / Issue 1/2015
Electronic ISSN: 1471-2261
DOI: https://doi.org/10.1186/s12872-015-0122-1

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Case presentation

Conclusion

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