Physiological assessment of coronary artery disease in the cardiac catheterization laboratory: a scientific statement from the American Heart Association Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology.
With advances in technology, the physiological assessment of coronary artery disease in patients in the catheterization laboratory has become increasingly important in both clinical and research applications, but this assessment has evolved without standard nomenclature or techniques of data acquisition and measurement. Some questions regarding the interpretation, application, and outcome related to the results also remain unanswered. Accordingly, this consensus statement was designed to provide the background and evidence about physiological measurements and to describe standard methods for data acquisition and interpretation. The most common uses and support data from numerous clinical studies for the physiological assessment of coronary artery disease in the cardiac catheterization laboratory are reviewed. The goal of this statement is to provide a logical approach to the use of coronary physiological measurements in the catheterization lab to assist both clinicians and investigators in improving patient care.
Kern
Morton J
MJ
University of California, Irvine, USA.
Lerman
Amir
A
Bech
Jan-Willen
JW
De Bruyne
Bernard
B
Eeckhout
Eric
E
Fearon
William F
WF
Higano
Stuart T
ST
Lim
Michael J
MJ
Meuwissen
Martijn
M
Piek
Jan J
JJ
Pijls
Nico H J
NH
Siebes
Maria
M
Spaan
Jos A E
JA
D000572:American Heart Association; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization / Q000379:methods*; D002319:Cardiovascular System / Q000503:physiopathology; D003097:Collateral Circulation; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D003326:Coronary Circulation; D003331:Coronary Vessels / Q000503:physiopathology; D004730:Endothelium, Vascular / Q000503:physiopathology; D006801:Humans; D011379:Prognosis