Coronary physiology revisited - Practical insights from the cardiac catheterization laboratory

被引：179

作者：

Kern, MJ ^{[1
]}

机构：

[1] St Louis Univ, Hlth Sci Ctr, Dept Internal Med, Div Cardiol, St Louis, MO 63110 USA

来源：

CIRCULATION | 2000年 / 101卷 / 11期

关键词：

physiology; catheterization; heart; coronary blood flow;

D O I：

10.1161/01.CIR.101.11.1344

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Various coronary physiological measurements can be made in the cardiac catheterization laboratory using sensor-tipped guidewires; they include the measurement of poststenotic absolute coronary flow reserve, the relative coronary flow reserve, and the pressure-derived fractional flow reserve of the myocardium. Ambiguity regarding abnormal microcirculation has been reduced or eliminated with measurements of relative coronary flow reserve and fractional flow reserve. The role of microvascular flow impairment can be separately determined with coronary flow velocity reserve measurements. In addition to lesion assessment before and after intervention, emerging applications of coronary physiology include the determination of physiological responses to new pharmacological agents, such as glycoprotein IIb/IIIa blockers, in patients with acute myocardial infarction. Measurements of coronary physiology in the catheterization laboratory provide objective data that complement angiography for clinical decision-making.

引用

页码：1344 / 1351

页数：8

共 50 条

[21] Comparison of quantitative coronary angiography, intravascular ultrasound, and coronary pressure measurement to assess optimum stent deployment [J].

Hanekamp, CEE ;

Koolen, JJ ;

Pijls, NHJ ;

Michels, HR ;

Bonnier, HJRM .

CIRCULATION, 1999, 99 (08) :1015-1021

[22]

Heller LI, 1997, CIRCULATION, V96, P484

[23] PREDICTION OF LONG-TERM CLINICAL OUTCOME WITH FINAL TRANSLESIONAL PRESSURE-GRADIENT DURING CORONARY ANGIOPLASTY [J].

HODGSON, JM ;

REINERT, S ;

MOST, AS ;

WILLIAMS, DO .

CIRCULATION, 1986, 74 (03) :563-566

[24] INTRACORONARY DOPPLER GUIDE-WIRE VERSUS STRESS SINGLE-PHOTON EMISSION COMPUTED TOMOGRAPHIC TL-201 IMAGING IN ASSESSMENT OF INTERMEDIATE CORONARY STENOSES [J].

JOYE, JD ;

SCHULMAN, DS ;

LASORDA, D ;

FARAH, T ;

DONOHUE, BC ;

REICHEK, N .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 24 (04) :940-947

[25] CLINICAL OUTCOME OF DEFERRING ANGIOPLASTY IN PATIENTS WITH NORMAL TRANSLESIONAL PRESSURE-FLOW VELOCITY-MEASUREMENTS [J].

KERN, MJ ;

DONOHUE, TJ ;

AGUIRRE, FV ;

BACH, RG ;

CARACCIOLO, EA ;

WOLFORD, T ;

MECHEM, CJ ;

FLYNN, MS ;

CHAITMAN, B .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1995, 25 (01) :178-187

[26] IMPAIRED CORONARY VASODILATOR RESERVE IN THE IMMEDIATE POSTCORONARY ANGIOPLASTY PERIOD - ANALYSIS OF CORONARY-ARTERY FLOW VELOCITY INDEXES AND REGIONAL CARDIAC VENOUS EFFLUX [J].

KERN, MJ ;

DELIGONUL, U ;

VANDORMAEL, M ;

LABOVITZ, A ;

GUDIPATI, CV ;

GABLIANI, G ;

BODET, J ;

SHAH, Y ;

KENNEDY, HL .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1989, 13 (04) :860-872

[27] From research to clinical practice: Current role of intracoronary physiologically based decision making in the cardiac catheterization laboratory [J].

Kern, MJ ;

deBruyne, B ;

Pijls, NHJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 30 (03) :613-620

[28] Variations in normal coronary vasodilatory reserve stratified by artery, gender, heart transplantation and coronary artery disease [J].

Kern, MJ ;

Bach, RG ;

Mechem, CJ ;

Caracciolo, EA ;

Aguirre, FV ;

Miller, LW ;

Donohue, TJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1996, 28 (05) :1154-1160

[29] Role of coronary artery lumen enlargement in improving coronary blood flow after balloon angioplasty and stenting: A combined intravascular ultrasound Doppler flow and imaging study [J].

Kern, MJ ;

Dupouy, P ;

Drury, JH ;

Aguirre, FV ;

Aptecar, E ;

Bach, RG ;

Caracciolo, EA ;

Donohue, TJ ;

Rande, JLD ;

Geschwind, HJ ;

Mechem, CJ ;

Kane, G ;

Teiger, E ;

Wolford, TL .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (07) :1520-1527

[30] MEASUREMENTS OF CORONARY FLOW RESERVE - DEFINING PATHOPHYSIOLOGY VERSUS MAKING DECISIONS ABOUT PATIENT-CARE [J].

KLOCKE, FJ .

CIRCULATION, 1987, 76 (06) :1183-1189

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