A randomized, placebo-controlled trial of late Na current inhibition (ranolazine) in coronary microvascular dysfunction (CMD): impact on angina and myocardial perfusion reserve. [PDF]
AimsThe mechanistic basis of the symptoms and signs of myocardial ischaemia in patients without obstructive coronary artery disease (CAD) and evidence of coronary microvascular dysfunction (CMD) is unclear.
Anderson, R David+15 more
core +1 more source
Background Coronary flow capacity (CFC), which is a categorical assessment based on the combination of hyperemic coronary flow and coronary flow reserve (CFR), has been introduced as a comprehensive assessment of the coronary circulation to overcome the ...
Tadashi Murai+21 more
doaj +1 more source
Fractional flow reserve versus angiography in guiding management to optimize outcomes in non–ST-elevation myocardial infarction (FAMOUS-NSTEMI): rationale and design of a randomized controlled clinical trial [PDF]
<p>Background: In patients with acute non–ST-elevation myocardial infarction (NSTEMI), coronary arteriography is usually recommended; but visual interpretation of the angiogram is subjective.
Balachandran, Kanarath P.+10 more
core +1 more source
Objective To improve current knowledge of coronary flow reserve and non-obstructive coronary artery disease in terms of definition, features and clinical implications of measurement of coronary flow reserve (CFR), is an integrated measure of focal ...
Henry Anselmo Mayala+3 more
doaj +1 more source
FFR post-PCI: what we learned from the FFR-SEARCH study
WHAT DO WE KNOW ABOUT FRACTIONAL FLOW RESERVE AFTER STENTING? The introduction of the concept of fractional flow reserve (FFR) in the mid 90s moved coronary physiology from experimental science to routine use at the cath lab.1-3 Added to the better ...
Nico H.J. Pijls, Lokien X. van Nunen
doaj +1 more source
The haemodynamic effects of collateral donation to a chronic total occlusion : implications for patient management [PDF]
Physiological lesion assessment in the form of Fractional Flow Reserve (FFR) is now well established for the purpose of guiding multi-vessel revascularization.
Hoye, Angela, Ladwiniec, Andrew
core +1 more source
Modern scintigraphic methods for assessing myocardial blood flow and reserve
Background. Today, myocardial perfusion scintigraphy is an informative and accessible method for evaluating ischemic changes in the heart. However, this method has limitations, which are more connected with a semiquantitative assessment of the study ...
A. V. Mochula+2 more
doaj +1 more source
Meta-analysis of death and myocardial infarction in the DEFINE-FLAIR and iFR-SWEDEHEART trials: a hypothesis generating note of caution [PDF]
In patients with coronary heart disease, revascularization can improve symptoms and in certain high-risk subgroups may improve prognosis. Coronary angiography provides anatomical information and the physiological significance of a stenosis can be ...
Berry, Colin+2 more
core +1 more source
Coronary flow reserve by CT perfusion [PDF]
Cardiovascular computed tomography (CT) is one of the most impressive advances in the non-invasive diagnosis of cardiovascular disease in the last decade. Going beyond coronary calcium scoring, cardiovascular CT is capable of identifying calcified and non-calcified plaque, percent stenosis, cardiac structure and morphology, and left ventricular ...
Frank M. Bengel+2 more
openaire +2 more sources
Bimodal Pattern of Coronary Microvascular Involvement in Diabetes Mellitus
BackgroundThe contribution of functionally disturbed coronary autoregulation and structurally impaired microvascular vasodilatory function to reduced coronary flow velocity reserve, reflecting impaired coronary microcirculation in diabetes mellitus (DM),
Murat Sezer+7 more
doaj +1 more source