Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8659768 | Heart, Lung and Circulation | 2018 | 14 Pages |
Abstract
The presence and extent of myocardial ischaemia is a major determinant of prognosis and benefit from revascularisation in patients with stable coronary artery disease. Fractional Flow Reserve (FFR) is accepted as the reference standard for invasive assessment of ischaemia. Its ability to detect lesion specific ischaemia makes it a useful test in a wide range of patient and lesion subsets, with FFR guided intervention improving clinical outcomes and reducing health care costs compared to assessment with coronary angiography alone. This article will review the basic principles in FFR, practical tips in FFR guided revascularisation and the role of emerging non-hyperaemic indices of ischaemia.
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Authors
Abdul Rahman MBBS, Andy MBBS, PhD, Richard MBBS, Jamie MBBS, Christopher MBBS, Adam J. MB, BChir, PhD, Michael MBBS, PhD, Brian MBBS, MD, PhD,