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[Position paper on the theoretical basis, practical application and health economic evaluation of the functional assessment of coronary lesions endorsed by the Italian Society of Invasive Cardiology (SICI-GISE)].
- Source :
-
Giornale italiano di cardiologia (2006) [G Ital Cardiol (Rome)] 2015 Feb; Vol. 16 (2), pp. 116-28. - Publication Year :
- 2015
-
Abstract
- Functional assessment of coronary lesions has become an integral part of routine practice in most cath labs. Such evaluation is performed using a pressure wire that allows measurement of fractional flow reserve (FFR). The latter has received a class I indication with level of evidence A according to the most recent European guidelines on myocardial revascularization for the assessment of angiographically moderate coronary lesions. The present document has the following objectives: 1) to summarize the theoretical basis of FFR; 2) to provide a guideline for vasodilator therapy; 3) to summarize scientific evidence supporting FFR; 4) to provide a model of health economy evaluation focusing on resource sparing associated with the use of FFR.
- Subjects :
- Adenosine Triphosphate
Cardiac Catheterization economics
Cardiac Catheterization methods
Cardiac Catheterization standards
Clinical Trials as Topic
Collateral Circulation
Coronary Circulation
Coronary Stenosis diagnosis
Coronary Stenosis physiopathology
Diastole
Evidence-Based Medicine
Hemodynamics
Humans
Italy
Multicenter Studies as Topic
Myocardial Contraction
Nitroprusside
Papaverine
Vasodilator Agents
Fractional Flow Reserve, Myocardial
Heart Function Tests economics
Heart Function Tests methods
Heart Function Tests standards
Subjects
Details
- Language :
- Italian
- ISSN :
- 1827-6806
- Volume :
- 16
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Giornale italiano di cardiologia (2006)
- Publication Type :
- Academic Journal
- Accession number :
- 25805097
- Full Text :
- https://doi.org/10.1714/1798.19590