Coronary Physiology Derived from Invasive Angiography: Will it be a Game Changer?

There is a large body of evidence suggesting that having knowledge of the presence and extent of coronary atheroma and whether it is causing downstream myocardial ischaemia facilitates optimal diagnosis and management for patients presenting with chest pain. Despite this, the use of coronary pressur...

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Autores principales:	Lavinia Gabara, Jonathan Hinton, Julian Gunn, Paul D Morris, Nick Curzen
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2020
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/c13c5d81eab347ffb1340c326d11edab
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spelling	oai:doaj.org-article:c13c5d81eab347ffb1340c326d11edab2021-12-04T16:03:04ZCoronary Physiology Derived from Invasive Angiography: Will it be a Game Changer?10.15420/icr.2019.251756-14851756-1477https://doaj.org/article/c13c5d81eab347ffb1340c326d11edab2020-06-01T00:00:00Zhttps://www.icrjournal.com/articleindex/icr.2019.25https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485There is a large body of evidence suggesting that having knowledge of the presence and extent of coronary atheroma and whether it is causing downstream myocardial ischaemia facilitates optimal diagnosis and management for patients presenting with chest pain. Despite this, the use of coronary pressure wire in routine practice is surprisingly low and routine assessment of all diseased vessels before making a bespoke management plan is rare. The advent of angiogram-derived models of physiology could change diagnostic practice completely. By offering routine assessment of the physiology of all the major epicardial coronary vessels, angiogram-derived physiology has the potential to radically modify current practice by facilitating more accurate patient-level, vessel-level, and even lesion-level decision-making. In this article, the authors review the current state of angiogram-derived physiology and speculate on its potential impact on clinical practice.Lavinia GabaraJonathan HintonJulian GunnPaul D MorrisNick CurzenRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 15, Iss , Pp - (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Lavinia Gabara Jonathan Hinton Julian Gunn Paul D Morris Nick Curzen Coronary Physiology Derived from Invasive Angiography: Will it be a Game Changer?
description	There is a large body of evidence suggesting that having knowledge of the presence and extent of coronary atheroma and whether it is causing downstream myocardial ischaemia facilitates optimal diagnosis and management for patients presenting with chest pain. Despite this, the use of coronary pressure wire in routine practice is surprisingly low and routine assessment of all diseased vessels before making a bespoke management plan is rare. The advent of angiogram-derived models of physiology could change diagnostic practice completely. By offering routine assessment of the physiology of all the major epicardial coronary vessels, angiogram-derived physiology has the potential to radically modify current practice by facilitating more accurate patient-level, vessel-level, and even lesion-level decision-making. In this article, the authors review the current state of angiogram-derived physiology and speculate on its potential impact on clinical practice.
format	article
author	Lavinia Gabara Jonathan Hinton Julian Gunn Paul D Morris Nick Curzen
author_facet	Lavinia Gabara Jonathan Hinton Julian Gunn Paul D Morris Nick Curzen
author_sort	Lavinia Gabara
title	Coronary Physiology Derived from Invasive Angiography: Will it be a Game Changer?
title_short	Coronary Physiology Derived from Invasive Angiography: Will it be a Game Changer?
title_full	Coronary Physiology Derived from Invasive Angiography: Will it be a Game Changer?
title_fullStr	Coronary Physiology Derived from Invasive Angiography: Will it be a Game Changer?
title_full_unstemmed	Coronary Physiology Derived from Invasive Angiography: Will it be a Game Changer?
title_sort	coronary physiology derived from invasive angiography: will it be a game changer?
publisher	Radcliffe Medical Media
publishDate	2020
url	https://doaj.org/article/c13c5d81eab347ffb1340c326d11edab
work_keys_str_mv	AT laviniagabara coronaryphysiologyderivedfrominvasiveangiographywillitbeagamechanger AT jonathanhinton coronaryphysiologyderivedfrominvasiveangiographywillitbeagamechanger AT juliangunn coronaryphysiologyderivedfrominvasiveangiographywillitbeagamechanger AT pauldmorris coronaryphysiologyderivedfrominvasiveangiographywillitbeagamechanger AT nickcurzen coronaryphysiologyderivedfrominvasiveangiographywillitbeagamechanger
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Coronary Physiology Derived from Invasive Angiography: Will it be a Game Changer?

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