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FFR: Decision-maker or innocent bystander?
J Cardiovasc Comput Tomogr
September 2024
Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address:
Coronary computed tomography angiography-based SYNTAX score for comprehensive assessment of advanced coronary artery disease.
J Cardiovasc Comput Tomogr
March 2024
Department of Cardiology, University of Galway, Galway, Ireland.
Background: Since the initial attempt to adapt the anatomical SYNTAX score (aSS) to coronary computed tomography angiography (CCTA), CCTA imaging technology has evolved, and is currently used as a "decision-maker" for revascularization strategy in complex coronary artery disease (CAD) and has rendered necessary some updating of the aSS to the CCTA modality.
Objectives: The aim is to provide updated definitions of the aSS derived from CCTA in patients with complex CAD undergoing CABG.
Methods: The modifications of CCTA-aSS are the following; (i) updated definition and detection criteria of total occlusion (TO) in CCTA based on length assessment, (ii) inclusion of scoring points for serial bifurcations located in one single coronary segment.
Influence of heart rate on FFR measurements: An experimental and clinical validation study.
Int J Cardiol
October 2020
The Jerzy Kukuczka Academy of Physical Education, Faculty of Physiotherapy, Poland.
Background: Functional lesion assessment in stable coronary disease is considered the gold standard. The result of fractional flow reserve (FFR) in stable coronary disease is often a decision-maker for patient qualification. Taking into account the paramount position of FFR, it is crucial to acknowledge and reduce all potential bias.
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