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Anatomic Versus Physiologic Assessment of Coronary Artery Disease

Authors :: Michael E. Merhige
Marcelo F. Di Carli
John Vitarello
Juhani Knuuti
Philipp A. Kaufmann
Jagat Narula
Robert J. Gropler
Nils P. Johnson
Henry Gewirtz
Thomas H. Schindler
Frank M. Bengel
Stefano Sdringola
K. Lance Gould
Heinrich R. Schelbert
Paul Knaapen
Paolo G. Camici
K.Peter Rentrop
Sharmila Dorbala
Vasken Dilsizian
Benjamin J.W. Chow
Robert M. Bober
Manuel D. Cerqueira
Markus Schwaiger
Kim A. Williams
Donald Gordon
Rob S. Beanlands
Terrence D. Ruddy
Timothy M. Bateman
Cardiology
ICaR - Ischemia and repair
Source :: Journal of the American College of Cardiology, 62(18), 1639-1653. Elsevier USA, Gould, K L, Johnson, N P, Bateman, T M, Beanlands, R S, Bengel, F M, Bober, R, Camici, P G, Cerqueira, M D, Chow, B J W, Di Carli, M F, Dorbala, S, Gewirtz, H, Gropler, R J, Kaufmann, P A, Knaapen, P, Knuuti, J, Merhige, M E, Rentrop, K P, Ruddy, T D, Schelbert, H R, Schindler, T H, Schwaiger, M, Sdringola, S, Vitarello, J, Williams, K A, Gordon, D, Dilsizian, V & Narula, J 2013, ' Anatomic Versus Physiologic Assessment of Coronary Artery Disease ', Journal of the American College of Cardiology, vol. 62, no. 18, pp. 1639-1653 . https://doi.org/10.1016/j.jacc.2013.07.076
Publication Year :: 2013
Publisher :: Elsevier BV, 2013.
Abstract: Angiographic severity of coronary artery stenosis has historically been the primary guide to revascularization or medical management of coronary artery disease. However, physiologic severity defined by coronary pressure and/or flow has resurged into clinical prominence as a potential, fundamental change from anatomically to physiologically guided management. This review addresses clinical coronary physiology-pressure and flow-as clinical tools for treating patients. We clarify the basic concepts that hold true for whatever technology measures coronary physiology directly and reliably, here focusing on positron emission tomography and its interplay with intracoronary measurements.