IMR Press / RCM / Volume 23 / Issue 7 / DOI: 10.31083/j.rcm2307251
Open Access Review
When Intracoronary Anatomy is Superior to Physiology
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1 Department of Medicine, Veterans Administration Long Beach Health Care System, Long Beach, CA 90822 USA
2 Department of Medicine, University of California, Irvine, Orange, CA 92868, USA
*Correspondence: arnoldhseto@gmail.com (Arnold H. Seto)
Academic Editor: Jerome L. Fleg
Rev. Cardiovasc. Med. 2022, 23(7), 251; https://doi.org/10.31083/j.rcm2307251
Submitted: 23 February 2022 | Revised: 11 April 2022 | Accepted: 24 June 2022 | Published: 14 July 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Physiologic assessment has become an essential tool to guide revascularization decisions due to the multiple limitations of angiographic and anatomic measures of physiologic significance. However, in certain cases the apparent physiologic measurement may not accurately reflect the severity of coronary disease compared with anatomical measurements. This article will review how anatomy trumps physiology in cases of acute coronary syndromes, left main disease, saphenous vein graft lesions, and myocardial bridging, and how to overcome the limitations of physiologic measurement in these clinical situations.

Keywords
coronary hemodynamics
FFR
CABG
CAD
Figures
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