title: Coronary physiology in the cath lab: beyond the basics.
abstract: The adoption of invasive coronary physiologic lesion assessment before percutaneous coronary intervention has become routine in many catheterization laboratories. In the last decade, numerous studies have demonstrated favorable outcomes for revascularization decisions based on in-lab coronary physiology in many patients. The use of coronary physiology in the laboratory has been identified as a class IIa recommendation for patients in whom the clinical presentation and supporting data are too inconclusive to make an objective decision regarding treatment. This article reviews pertinent concepts and studies of the more complex applications of translesional pressure measurements for optimal patient outcomes.
authors: Division of Cardiology, Long Beach Veterans Administration Hospital, University of California, 101 The City Drive, Orange, Irvine, CA 92866, USA. mkern@uci.edu
authors: Morton J
authors: MJ
authors: Kern
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization / Q000379:methods*; D016507:Cardiology Service, Hospital / Q000592:standards; D002986:Clinical Trials as Topic; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D003331:Coronary Vessels / Q000473:pathology / Q000503:physiopathology; D019317:Evidence-Based Medicine; D053805:Fractional Flow Reserve, Myocardial; D006801:Humans; D017410:Practice Guidelines as Topic; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014654:Vascular Patency