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3 years ago
Introduction
Ischaemic heart disease, a major public health issue, is responsible for one in every six deaths and an estimated 1,065,000 will have an acute coronary syndrome (ACS) annually.1 ACS is an umbrella term that comprises unstable angina, non-ST segment elevation myocardial infarction (NSTEMI) and ST-segment elevation myocardial infarction (STEMI).2
NSTEMI is the commonest form of acute…
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3 years ago
As coronary angiography is of limited value in defining the functional significance of a stenosis, the timely article by Balanescu in this issue of European Cardiology Review rationally proposes to integrate the anatomic information with a functional assessment, either by measuring coronary flow reserve (CFR) or intracoronary artery pressure with fractional flow reserve (FFR). CFR measurements…
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3 years ago
Introduction
Previous studies proved that fractional flow reserve (FFR)-guided decision-making in general coronary lesions can reduce unnecessary revascularisation and improve patient outcomes.1 Compared to non-bifurcation lesions, bifurcation lesions are associated with more complex procedures, less procedural success and worse clinical outcomes. It is clinically important to accurately assess…
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3 years ago
Fractional Flow Reserve
FFR is the reference standard for the physiological assessment of coronary artery stenoses, particularly intermediate ones. FFR is defined as the ratio between mean distal coronary pressure and mean aortic pressure, both measured simultaneously at maximal hyperaemia.5 Coronary pressure is measured using a 0.014-inch sensor-tipped PressureWire™ FFR measurement system (St…
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3 years ago
Introduction
Angiography has long been considered the gold standard in guiding coronary interventional therapies. However, well-documented limitations of angiography necessitate the use of more advanced imaging and functional hemodynamic evaluation to arrive at optimal decisions regarding revascularization.1 Contemporary guideline-driven practice dictates revascularization only for ischemia…
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3 years ago
By using fractional flow reserve (FFR) in patients with multivessel disease, the interventional cardiologist is able to accurately distinguish between coronary stenoses that induce myocardial ischaemia and stenoses that do not induce myocardial ischaemia. Consequently, it is possible to treat selectively the functionally significant stenoses (those responsible for reversible ischaemia, also…
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Added:
3 years ago
Fractional flow reserve (FFR) is an index used to describe the physiological significance of a coronary stenosis. It measures the pressure drop under conditions of maximal hyperaemia between the aorta and a selected vessel location distal to an angiographic lesion.1 Several FFR studies have identified patient groups in whom coronary stenting is associated with improved outcomes when compared with…
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Start date:
Oct 13, 2014
End date:
Oct 13, 2014
LIVE WEBCAST Performed by Dr. Justin E Davies, Consultant Cardiologist, Imperial College NHS Trust.
Monday 13th October 2014
14:30-15:30 GMT (15:30-16:30 CET; 9:30-10:30AM EST, 6:30-7:30AM PST)
PROVISIONAL AGENDA
Introduction to the ethos of Live from the Hammersmith
Outline for the live case broadcast
Importance of FAME 3, Syntax in multi-vessel disease assessment in changing patient…
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Added:
3 years ago
Coronary artery disease (CAD) due to atherosclerosis is a major cause of morbidity and mortality. Early prevention of atherothrombotic disease with a healthy lifestyle (diet, exercise, optimal body weight and no smoking) is considered the best method of “treating” CAD, although increasing age remains associated with significant cardiovascular events.
When coronary atherothrombotic disease…
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Start date:
Oct 13, 2014
On-Demand Video:
Clinical Utilisation of Fractional Flow Reserve in Multi-Vessel Disease
Monday 13th October 2014 (14:30-15:30 BST)
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