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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 179 - 190 (12page)
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초록· 키워드
오류제보하기
The presence of myocardial ischemia is the most important prognostic factor in patientswith coronary artery disease, and ischemia-directed revascularization has been a standardof care. Fractional flow reserve (FFR) is an invasive method used to detect the functionallysignificant epicardial coronary stenosis, and FFR-guided revascularization strategy hasbeen proven to be superior to angiography-guided strategy. Recently, a hyperemia-freeindex, instantaneous wave free ratio (iFR), was developed and showed its non-inferiorityfor clinical outcomes compared with FFR-guided strategy. While evidence supporting thebenefit of pressure wire assessment exists, there remain several unresolved issues, suchas the mechanism of discordance between resting and hyperemic physiologic indices,clinical outcomes of patient/lesions with discordant results among the physiologic indices,role of physiologic indices beyond per-vessel decision tool, and the role of microvasculardysfunction in patient prognosis. The current article will review the recent studiesperformed to address these questions.
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참고문헌 (51)
참고문헌 신청
Iskandrian AS / 1993 / Independent and incremental prognostic value of exercise single-photon emission computed tomographic (SPECT) thallium imaging in coronary artery disease / J Am Coll Cardiol 22:665~670
Hachamovitch R / 2002 / Value of stress myocardial perfusion single photon emission computed tomography in patients with normal resting electrocardiograms: an evaluation of incremental prognostic value and cost-effectiveness / Circulation 105:823~829
Iskander S / 1998 / Risk assessment using single-photon emission computed tomographic technetium-99m sestamibi imaging / J Am Coll Cardiol 32:57~62
Lin GA / 2008 / Frequency of stress testing to document ischemia prior to elective percutaneous coronary intervention / JAMA 300:1765~1773
Patel MR / 2010 / Low diagnostic yield of elective coronary angiography / N Engl J Med 362:886~895
Hachamovitch R / 2002 / Value of stress myocardial perfusion single photon emission computed tomography in patients with normal resting electrocardiograms: an evaluation of incremental prognostic value and cost-effectiveness / Circulation 105:823~829
Iskander S / 1998 / Risk assessment using single-photon emission computed tomographic technetium-99m sestamibi imaging / J Am Coll Cardiol 32:57~62
Lin GA / 2008 / Frequency of stress testing to document ischemia prior to elective percutaneous coronary intervention / JAMA 300:1765~1773
Patel MR / 2010 / Low diagnostic yield of elective coronary angiography / N Engl J Med 362:886~895
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