导管室中的冠状动脉生理学评估。
Coronary physiology assessment in the catheterization laboratory.
作者信息
Díez-Delhoyo Felipe, Gutiérrez-Ibañes Enrique, Loughlin Gerard, Sanz-Ruiz Ricardo, Vázquez-Álvarez María Eugenia, Sarnago-Cebada Fernando, Angulo-Llanos Rocío, Casado-Plasencia Ana, Elízaga Jaime, Fernández Avilés Diáz Francisco
机构信息
Felipe Díez-delhoyo, Enrique Gutiérrez-Ibañes, Gerard Loughlin, Ricardo Sanz-Ruiz, María Eugenia Vázquez-Álvarez, Fernando Sarnago-Cebada, Rocío Angulo-Llanos, Ana Casado-Plasencia, Jaime Elízaga-Corrales, Francisco Fernández Avilés Diáz, Instituto de Investigación Sanitaria Gregorio Marañón, Servicio de Cardiología, Departamento de Medicina, Universidad Complutense de Madrid, 28007 Madrid, Spain.
出版信息
World J Cardiol. 2015 Sep 26;7(9):525-38. doi: 10.4330/wjc.v7.i9.525.
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.
摘要
在评估心肌缺血患者时，医生不能仅依靠心外膜冠状动脉狭窄的血管造影表现。相反，对冠状动脉血管生理学以及目前用于其特征描述的方法有充分的了解，可以提高冠状动脉循环有创评估的诊断和预后准确性，并有助于改善临床决策。在本文中，我们总结了目前可用于全面评估冠状动脉生理学的方法。
相似文献
1
Coronary physiology assessment in the catheterization laboratory.导管室中的冠状动脉生理学评估。
World J Cardiol. 2015 Sep 26;7(9):525-38. doi: 10.4330/wjc.v7.i9.525.
2
Fractional Flow Reserve or Coronary Flow Reserve for the Assessment of Myocardial Perfusion : Implications of FFR as an Imperfect Reference Standard for Myocardial Ischemia.血流储备分数或冠状动脉血流储备评估心肌灌注：FFR 作为心肌缺血不完善参考标准的意义。
Curr Cardiol Rep. 2018 Jul 26;20(9):77. doi: 10.1007/s11886-018-1017-4.
3
Coronary Physiology in the Cardiac Catheterization Laboratory.心脏导管实验室中的冠状动脉生理学
J Clin Med. 2019 Feb 18;8(2):255. doi: 10.3390/jcm8020255.
4
Prevalence of Microvascular and Endothelial Dysfunction in the Nonculprit Territory in Patients With Acute Myocardial Infarction.急性心肌梗死患者非罪犯病变部位的微血管和内皮功能障碍的患病率。
Circ Cardiovasc Interv. 2019 Feb;12(2):e007257. doi: 10.1161/CIRCINTERVENTIONS.118.007257.
5
Exploring Coronary Circulatory Response to Stenosis and Its Association With Invasive Physiologic Indexes Using Absolute Myocardial Blood Flow and Coronary Pressure.探讨使用绝对心肌血流和冠状动脉压力评估狭窄病变时冠状动脉循环反应及其与有创生理学指标的相关性。
Circulation. 2017 Nov 7;136(19):1798-1808. doi: 10.1161/CIRCULATIONAHA.117.029911. Epub 2017 Aug 29.
6
Invasive Assessment of the Coronary Microvasculature: The Index of Microcirculatory Resistance.冠状动脉微血管的侵袭性评估：微血管阻力指数。
Circ Cardiovasc Interv. 2017 Dec;10(12). doi: 10.1161/CIRCINTERVENTIONS.117.005361.
7
Integrated physiologic assessment of ischemic heart disease in real-world practice using index of microcirculatory resistance and fractional flow reserve: insights from the International Index of Microcirculatory Resistance Registry.在现实世界实践中使用微循环阻力指数和血流储备分数对缺血性心脏病进行综合生理评估：来自国际微循环阻力指数注册研究的见解
Circ Cardiovasc Interv. 2015 Nov;8(11):e002857. doi: 10.1161/CIRCINTERVENTIONS.115.002857.
8
Influence of Local Myocardial Damage on Index of Microcirculatory Resistance and Fractional Flow Reserve in Target and Nontarget Vascular Territories in a Porcine Microvascular Injury Model.猪微血管损伤模型中心肌局部损伤对靶血管和非靶血管区域微循环阻力指数和血流储备分数的影响。
JACC Cardiovasc Interv. 2018 Apr 23;11(8):717-724. doi: 10.1016/j.jcin.2017.11.028. Epub 2018 Mar 28.
9
[Coronary artery disease diagnostic with fractional flow reserve].[基于血流储备分数的冠状动脉疾病诊断]
Rev Med Suisse. 2011 Jun 1;7(297):1182-8.
10
Invasive Assessment of Coronary Microcirculation: A State-of-the-Art Review.冠状动脉微循环的有创评估：最新综述
Diagnostics (Basel). 2023 Dec 30;14(1):86. doi: 10.3390/diagnostics14010086.
引用本文的文献
1
Should We Revisit the Clinical Value of Fractional Flow Reserve in the Era of Coronary Microvascular Dysfunction?在冠状动脉微血管功能障碍时代，我们是否应该重新审视血流储备分数的临床价值？
Biomedicines. 2025 Apr 30;13(5):1086. doi: 10.3390/biomedicines13051086.
2
Hemodynamics of Proximal Coronary Lesions in Patients Undergoing Transcatheter Aortic Valve Implantation: Patient-Specific In Silico Study.经导管主动脉瓣植入术患者近端冠状动脉病变的血流动力学：基于患者特异性的计算机模拟研究
Bioengineering (Basel). 2025 Mar 26;12(4):339. doi: 10.3390/bioengineering12040339.
3
Differences in coronary microcirculation measurements during regadenoson vs. adenosine - induced hyperemia.雷加曲班与腺苷诱导充血时冠状动脉微循环测量的差异。
Cardiol J. 2025;32(1):19-25. doi: 10.5603/cj.97857. Epub 2024 Dec 20.
4
Utilizing Invasive Coronary Functional Testing in a Coronary Microvascular and Vasomotor Dysfunction Program: Methods and Considerations.在冠状动脉微血管和血管舒缩功能障碍项目中运用有创冠状动脉功能测试：方法与注意事项
Catheter Cardiovasc Interv. 2024 Dec;104(7):1327-1336. doi: 10.1002/ccd.31282. Epub 2024 Nov 17.
5
Implementation of Microcirculation Examination in Clinical Practice-Insights from the Nationwide POL-MKW Registry.微循环检查在临床实践中的应用——来自全国 POL-MKW 登记研究的启示。
Medicina (Kaunas). 2024 Feb 5;60(2):277. doi: 10.3390/medicina60020277.
6
Takotsubo Syndrome and Coronary Artery Disease: Which Came First-The Chicken or the Egg?应激性心肌病与冠状动脉疾病：孰先孰后——鸡还是蛋？
J Cardiovasc Dev Dis. 2024 Jan 26;11(2):39. doi: 10.3390/jcdd11020039.
7
Beyond Coronary Artery Disease: Assessing the Microcirculation.超越冠状动脉疾病：评估微循环。
Cardiol Clin. 2024 Feb;42(1):125-135. doi: 10.1016/j.ccl.2023.07.003.
8
Integrative modeling of hemodynamic changes and perfusion impairment in coronary microvascular disease.冠状动脉微血管疾病中血流动力学变化与灌注损伤的综合建模
Front Bioeng Biotechnol. 2023 Jul 26;11:1204178. doi: 10.3389/fbioe.2023.1204178. eCollection 2023.
9
Coronary Physiology: Modern Concepts for the Guidance of Percutaneous Coronary Interventions and Medical Therapy.冠状动脉生理学：用于指导经皮冠状动脉介入治疗和药物治疗的现代概念
J Clin Med. 2023 Mar 15;12(6):2274. doi: 10.3390/jcm12062274.
10
Intracoronary Administration of Microencapsulated HGF in a Reperfused Myocardial Infarction Swine Model.在再灌注心肌梗死猪模型中冠状动脉内注射微囊化肝细胞生长因子
J Cardiovasc Dev Dis. 2023 Feb 17;10(2):86. doi: 10.3390/jcdd10020086.
本文引用的文献
1
Prospective Assessment of the Diagnostic Accuracy of Instantaneous Wave-Free Ratio to Assess Coronary Stenosis Relevance: Results of ADVISE II International, Multicenter Study (ADenosine Vasodilator Independent Stenosis Evaluation II).瞬时无波比评估冠状动脉狭窄相关性的诊断准确性的前瞻性评估：ADVISE II 国际多中心研究（腺苷血管扩张剂独立狭窄评估 II）的结果。
JACC Cardiovasc Interv. 2015 May;8(6):824-833. doi: 10.1016/j.jcin.2015.01.029.
2
Efficiencies of intracoronary sodium nitroprusside on fractional flow reserve measurement.冠状动脉内硝普钠对血流储备分数测量的有效性
Int J Clin Exp Med. 2015 Feb 15;8(2):2679-83. eCollection 2015.
3
Invasive evaluation of patients with angina in the absence of obstructive coronary artery disease.无阻塞性冠状动脉疾病的心绞痛患者的侵入性评估。
Circulation. 2015 Mar 24;131(12):1054-60. doi: 10.1161/CIRCULATIONAHA.114.012636. Epub 2015 Feb 20.
4
Prognostic value of fractional flow reserve: linking physiologic severity to clinical outcomes.血流储备分数的预后价值：将生理学严重程度与临床结果联系起来。
J Am Coll Cardiol. 2014 Oct 21;64(16):1641-54. doi: 10.1016/j.jacc.2014.07.973.
5
Fractional flow reserve-guided PCI for stable coronary artery disease.血管内成像指导下的经皮冠状动脉介入治疗在稳定型冠状动脉疾病中的应用。
N Engl J Med. 2014 Sep 25;371(13):1208-17. doi: 10.1056/NEJMoa1408758. Epub 2014 Sep 1.
6
2014 ESC/EACTS Guidelines on myocardial revascularization: the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI).2014 欧洲心脏病学会/欧洲心胸外科学会心肌血运重建指南：欧洲心脏病学会（ESC）和欧洲心胸外科学会（EACTS）心肌血运重建特别工作组。由欧洲经皮心血管介入协会（EAPCI）提供特别贡献制定。
Eur J Cardiothorac Surg. 2014 Oct;46(4):517-92. doi: 10.1093/ejcts/ezu366. Epub 2014 Aug 29.
7
Physiological basis and long-term clinical outcome of discordance between fractional flow reserve and coronary flow velocity reserve in coronary stenoses of intermediate severity.在中度严重冠状动脉狭窄中，血流储备分数和冠状动脉血流储备之间不匹配的生理基础及长期临床结局。
Circ Cardiovasc Interv. 2014 Jun;7(3):301-11. doi: 10.1161/CIRCINTERVENTIONS.113.001049. Epub 2014 Apr 29.
8
Invasive coronary microcirculation assessment--current status of index of microcirculatory resistance.有创冠状动脉微循环评估——微循环阻力指数的现状
Circ J. 2014;78(5):1021-8. doi: 10.1253/circj.cj-14-0364. Epub 2014 Apr 16.
9
Effects of intracoronary sodium nitroprusside compared with adenosine on fractional flow reserve measurement.冠状动脉内硝普钠与腺苷对血流储备分数测量的影响比较
J Invasive Cardiol. 2014 Mar;26(3):119-22.
10
Clinical usefulness, angiographic characteristics, and safety evaluation of intracoronary acetylcholine provocation testing among 921 consecutive white patients with unobstructed coronary arteries.921 例无阻塞性冠状动脉的白人患者中冠状动脉内乙酰胆碱激发试验的临床实用性、血管造影特征和安全性评估。
Circulation. 2014 Apr 29;129(17):1723-30. doi: 10.1161/CIRCULATIONAHA.113.004096. Epub 2014 Feb 26.
Zotero 插件