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Utility of fractional flow reserve to determine treatment after recent large myocardial infarction with severe left ventricular dysfunction
Author(s) -
Aleti Sumith,
Uretsky Barry F.,
Sachdeva Rajesh
Publication year - 2012
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.23324
Subject(s) - medicine , fractional flow reserve , cardiology , myocardial infarction , revascularization , infarction , lesion , ischemia , artery , surgery , coronary angiography
Evaluation of ischemia and the extent of viable myocardium is required prior to consideration of revascularizing a lesion after a myocardial infarction in which there is hypo‐ or akinesis. We present a case in which we utilized fractional flow reserve (FFR) of a lesion in a patient whose nuclear study 7 days after infarction suggested minimal viability in the infarct zone. After FFR was positive, stenting was performed with recovery of a large amount of viable myocardium at 1 month as shown on nuclear study. This case illustrates that if ischemia is demonstrated by FFR in an infarct‐related artery even with minimal viability by nuclear study, revascularization may result in significant myocardial recovery. © 2011 Wiley Periodicals, Inc.