Discordance Between Resting and Hyperemic Indices of Coronary Stenosis Severity
Author(s) -
Barry Hennigan,
Keith G. Oldroyd,
Colin Berry,
Nils P. Johnson,
John McClure,
Peter McCartney,
Margaret McEntegart,
Hany Eteiba,
Mark C. Petrie,
Paul Rocchiccioli,
Richard Good,
Martin M. Lindsay,
Stuart Hood,
Stuart Watkins
Publication year - 2016
Publication title -
circulation cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.621
H-Index - 95
eISSN - 1941-7632
pISSN - 1941-7640
DOI - 10.1161/circinterventions.116.004016
Subject(s) - fractional flow reserve , cutoff , medicine , cardiology , stenosis , revascularization , radiology , coronary angiography , myocardial infarction , physics , quantum mechanics
Distal coronary to aortic pressure ratio (Pd/Pa) and instantaneous wave-free ratio (iFR) are indices of functional significance of a coronary stenosis measured without hyperemia. It has been suggested that iFR has superior diagnostic accuracy to Pd/Pa when compared with fractional flow reserve (FFR).We hypothesized that in comparison with FFR, revascularization decisions based on either binary cutoff values for iFR and Pd/Pa or hybrid strategies incorporating iFR or Pd/Pa will result in similar levels of disagreement.
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