title: Impact of Routine Fractional Flow Reserve Evaluation During Coronary Angiography on Management Strategy and Clinical Outcome: One-Year Results of the POST-IT.
abstract: Penetration of fractional flow reserve (FFR) in clinical practice varies extensively, and the applicability of results from randomized trials is understudied. We describe the extent to which the information gained from routine FFR affects patient management strategy and clinical outcome.
  
  
  
  Nonselected patients undergoing coronary angiography, in which at least 1 lesion was interrogated by FFR, were prospectively enrolled in a multicenter registry. FFR-driven change in management strategy (medical therapy, revascularization, or additional stress imaging) was assessed per-lesion and per-patient, and the agreement between final and initial strategies was recorded. Cardiovascular death, myocardial infarction, or unplanned revascularization (MACE) at 1 year was recorded. A total of 1293 lesions were evaluated in 918 patients (mean FFR, 0.81±0.1). Management plan changed in 406 patients (44.2%) and 584 lesions (45.2%). One-year MACE was 6.9%; patients in whom all lesions were deferred had a lower MACE rate (5.3%) than those with at least 1 lesion revascularized (7.3%) or left untreated despite FFR≤0.80 (13.6%; log-rank P=0.014). At the lesion level, deferral of those with an FFR≤0.80 was associated with a 3.1-fold increase in the hazard of cardiovascular death/myocardial infarction/target lesion revascularization (P=0.012). Independent predictors of target lesion revascularization in the deferred lesions were proximal location of the lesion, B2/C type and FFR.
  
  
  
  Routine FFR assessment of coronary lesions safely changes management strategy in almost half of the cases. Also, it accurately identifies patients and lesions with a low likelihood of events, in which revascularization can be safely deferred, as opposed to those at high risk when ischemic lesions are left untreated, thus confirming results from randomized trials.
  
  
  
  URL: http://www.clinicaltrials.gov. Unique identifier: NCT01835808.
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.). sergio.b.baptista@gmail.com lfor.md@gmail.com.
authors.forename: Sergio Bravo
authors.initials: SB
authors.lastname: Baptista
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.). sergio.b.baptista@gmail.com lfor.md@gmail.com.
authors.forename: Luís
authors.initials: L
authors.lastname: Raposo
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Lino
authors.initials: L
authors.lastname: Santos
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Ruben
authors.initials: R
authors.lastname: Ramos
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Rita
authors.initials: R
authors.lastname: Calé
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Elisabete
authors.initials: E
authors.lastname: Jorge
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Carina
authors.initials: C
authors.lastname: Machado
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Marco
authors.initials: M
authors.lastname: Costa
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Eduardo
authors.initials: E
authors.lastname: Infante de Oliveira
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: João
authors.initials: J
authors.lastname: Costa
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: João
authors.initials: J
authors.lastname: Pipa
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Nuno
authors.initials: N
authors.lastname: Fonseca
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Jorge
authors.initials: J
authors.lastname: Guardado
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Bruno
authors.initials: B
authors.lastname: Silva
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Maria-João
authors.initials: MJ
authors.lastname: Sousa
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Silva
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Alberto
authors.initials: A
authors.lastname: Rodrigues
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Luís
authors.initials: L
authors.lastname: Seca
authors.affiliation: From the Cardiology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal (S.B.B.); Cardiology Department, Hospital Santa Cruz, CHLO, Carnaxide, Portugal (L.R.); Cardiology Department, Centro Hospitalar Vila Nova de Gaia, Portugal (L.S.); Cardiology Department, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal (R.R.); Cardiology Department, Hospital Garcia de Orta, Almada, Portugal (R.C.); Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal (E.J.); Cardiology Department, Hospital Divino Espirito Santo, Ponta Delgada, Portugal (C.M.); Unidade de Intervenção Cardiovascular, Hospital Geral do Centro Hospitalar e Universitário de Coimbra, Portugal (M.C.); Cardiology Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal (E.O.); Cardiology Department, Hospital de Braga, Portugal (J.C.); Cardiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal (J.P.); Cardiology Department, Centro Hospitalar Setúbal, Portugal (N.F.); Cardiology Department, Hospital Santo André, Centro Hospitalar Leiria-Pombal, Portugal (J.G.); Cardiology Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal (B.S.); Cardiology Department, Hospital Geral Santo António, Centro Hospitalar do Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar São João, Porto, Portugal (J.S.); Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (A.R.); Cardiology Department, Centro Hospitalar Trás-os-Montes e Alto Douro, Unidade Hospitalar Vila Real, Portugal (L.S.); and Cardiology Department, Hospital Espírito Santo, Évora, Portugal (R.F.).
authors.forename: Renato
authors.initials: R
authors.lastname: Fernandes
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000401:mortality / Q000503:physiopathology / Q000628:therapy; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005260:Female; D053805:Fractional Flow Reserve, Myocardial; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D009204:Myocardial Revascularization; D011174:Portugal; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012042:Registries; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
keywords: coronary angiography; decision aids; fractional flow reserve; management strategy; outcome