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Coronary physiology assessment in the catheterization laboratory
Authors:Felipe Díez-delhoyo  Enrique Gutiérrez-Iba?es  Gerard Loughlin  Ricardo Sanz-Ruiz  María Eugenia Vázquez-álvarez  Fernando Sarnago-Cebada  Rocío Angulo-Llanos  Ana Casado-Plasencia  Jaime Elízaga  Francisco Fernández Avilés Diáz
Abstract:Physicians cannot rely solely on the angiographic appearance of epicardial coronary artery stenosis when evaluating patients with myocardial ischemia. Instead, sound knowledge of coronary vascular physiology and of the methods currently available for its characterization can improve the diagnostic and prognostic accuracy of invasive assessment of the coronary circulation, and help improve clinical decision-making. In this article we summarize the current methods available for a thorough assessment of coronary physiology.
Keywords:Coronary heart disease  Coronary physiology  Endothelial dysfunction  Microvascular dysfunction  Fractional flow reserve  Coronary flow reserve  Index of microcirculatory resistance
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