Saunders Alec, Curzen Nick
Faculty of Medicine, University of Southampton, SO17 1BJ Southampton, UK.
Cardiothoracic Care Group, University Hospital Southampton NHS Trust, SO16 6YD Southampton, UK.
Rev Cardiovasc Med. 2022 Apr 13;23(4):145. doi: 10.31083/j.rcm2304145. eCollection 2022 Apr.
The use of coronary physiology in patients with chronic coronary syndromes is highly variable, and the evidence base complex. Tests of coronary physiology have traditionally been invasive (e.g., fractional flow reserve), but novel non-invasive methods are now available which provide additional anatomical information (e.g., computed tomography-based fractional flow reserve and angiogram-derived physiology). This review summarises the evidence for and against the relative value of these tests for patients being investigated for chest pain that may represent chronic coronary syndromes, and for those triaged to percutaneous coronary intervention.
慢性冠状动脉综合征患者冠状动脉生理学的应用差异很大，证据基础也很复杂。传统上，冠状动脉生理学检测是侵入性的（例如，血流储备分数），但现在有了新的非侵入性方法，可提供额外的解剖学信息（例如，基于计算机断层扫描的血流储备分数和血管造影衍生的生理学）。本综述总结了这些检测对于可能代表慢性冠状动脉综合征的胸痛患者以及那些被分诊接受经皮冠状动脉介入治疗的患者的相对价值的支持和反对证据。
