Past, Present and Future of Coronary Physiology

Publication date: August 2018Source: Revista Española de Cardiología (English Edition), Volume 71, Issue 8Author(s): Takayuki Warisawa, Christopher M. Cook, Yoshihiro J. Akashi, Justin E. DaviesAbstractIt 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.ResumenEs bien sabido que ocasionalmente una lesión coronaria angiográficamente aparentemente significativa podría no causar isquemia y viceversa. Por eso las decisiones terapéuticas basadas en un conocimiento de la fisiología coronaria son cada vez más importantes. El uso de la reserva fraccional de flujo (RFF), una herramienta útil para determinar en el laboratorio de hemodinámica las lesiones que se pueden beneficiar de revascularización, ha conseguido una indicación de clase IA en las guías de la Sociedad Euro...
Source: Revista Espanola de Cardiologia - Category: Cardiology Source Type: research