Evaluation physiologique invasive de la maladie coronarienne.

MARECHAL, Patrick; LEMPEREUR, Mathieu; GACH, Olivier; Lancellotti, Patrizio

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Evaluation physiologique invasive de la maladie coronarienne.

MARECHAL, Patrick; LEMPEREUR, Mathieu; GACH, Olivier et al.

2019 • In Revue Médicale de Liège, 74 (S1), p. 22-S28

Peer reviewed

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https://hdl.handle.net/2268/239767

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31070312

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Keywords :

Fractional flow reserve; Vasospastic angina; Coronary revascularization

Abstract :

[en] Percutaneous or surgical coronary revascularization must only be realized if myocardial ischemia is clearly demonstrated. In practice, this ischemia is most often seeked by non-invasive tests. These ones are unfortunately not systematically realized or may bring equivocal results compared to angiographic images. Coronary angiography remains the test of choice for the evaluation of coronary disease, but visual analysis of coronary stenosis does not confirm their hemodynamic significance. The measurement of coronary flow reserve by FFR ("fractional flow reserve") or iFR (<<instantaneous wave-free ratio>>) is a simple method to invasively assess the hemodynamic impact of a coronary lesion. Spastic angina, when suspected by clinical history, can also be confirmed during coronary angiography by the provocative methylergonovine test.

Disciplines :

Cardiovascular & respiratory systems

Author, co-author :

MARECHAL, Patrick ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Cardiologie multidisciplinaire et prévention

LEMPEREUR, Mathieu ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Cardiologie interventionnelle

GACH, Olivier ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Cardiologie interventionnelle

Lancellotti, Patrizio ; Université de Liège - ULiège > Département des sciences cliniques > Cardiologie - Pathologie spéciale et réhabilitation

Language :

French

Title :

Evaluation physiologique invasive de la maladie coronarienne.

Alternative titles :

[en] Invasive physiological evaluation of coronary artery disease

Publication date :

2019

Journal title :

Revue Médicale de Liège

ISSN :

0370-629X

eISSN :

2566-1566

Publisher :

Université de Liège. Revue Médicale de Liège, Liège, Belgium

Volume :

Issue :

Pages :

S22-S28

Peer reviewed :

Peer reviewed

Available on ORBi :

since 27 September 2019

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