Koo Bon-Kwon, Lee Joo Myung, Hwang Doyeon, Park Sungjoon, Shiono Yasutsugu, Yonetsu Taishi, Lee Seung Hun, Kawase Yoshiaki, Ahn Jung-Min, Matsuo Hitoshi, Shin Eun-Seok, Hu Xinyang, Ding Daixin, Fezzi Simone, Tu Shengxian, Low Adrian F, Kubo Takashi, Nam Chang-Wook, Yong Andy S C, Harding Scott A, Xu Bo, Hur Seung-Ho, Choo Gim Hooi, Tan Huay Cheem, Mullasari Ajit, Hsieh I-Chang, Kakuta Tsunekazu, Akasaka Takashi, Wang Jian'an, Tahk Seung-Jea, Fearon William F, Escaned Javier, Park Seung-Jung
Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.
Division of Cardiology, Department of Internal Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
JACC Asia. 2023 Aug 29;3(5):689-706. doi: 10.1016/j.jacasi.2023.07.003. eCollection 2023 Oct.
Coronary physiologic assessment is performed to measure coronary pressure, flow, and resistance or their surrogates to enable the selection of appropriate management strategy and its optimization for patients with coronary artery disease. The value of physiologic assessment is supported by a large body of evidence that has led to major recommendations in clinical practice guidelines. This expert consensus document aims to convey practical and balanced recommendations and future perspectives for coronary physiologic assessment for physicians and patients in the Asia-Pacific region based on updated information in the field that including both wire- and image-based physiologic assessment. This is Part 1 of the whole consensus document, which describes the general concept of coronary physiology, as well as practical information on the clinical application of physiologic indices and novel image-based physiologic assessment.
进行冠状动脉生理评估以测量冠状动脉压力、流量和阻力或其替代指标，从而为冠心病患者选择合适的管理策略并对其进行优化。大量证据支持了生理评估的价值，这些证据已导致临床实践指南中的主要建议。本专家共识文件旨在根据该领域的最新信息，为亚太地区的医生和患者提供关于冠状动脉生理评估的实用且平衡的建议以及未来展望，这些信息包括基于导丝和基于影像的生理评估。这是整个共识文件的第1部分，它描述了冠状动脉生理学的一般概念，以及生理指标临床应用和基于影像的新型生理评估的实用信息。
