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Practical Application of Coronary Physiologic Assessment: Asia-Pacific Expert Consensus Document: Part 1

Koo BK 1 , Lee JM 2 , Hwang D 1 , Park S 1 , Shiono Y 3 , Yonetsu T 4 Show all authors , Lee SH 5 , Kawase Y 6 , Ahn JM 7 , Matsuo H 6 , Shin ES 8 , Hu X 9 , Ding D 10 , Fezzi S 11 , Tu S 10 , Low AF 12 , Kubo T 13 , Nam CW 14 , Yong ASC 15 , Harding SA 16 , Xu B 17 , Hur SH 14 , Choo GH 18 , Tan HC 12 , Mullasari A 19 , Hsieh IC 20 , Kakuta T 21 , Akasaka T 3 , Wang J 9 , Tahk SJ 22 , Fearon WF 23 , Escaned J 24 , Park SJ 7

Affiliations 

  • 1 Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, Korea
  • 2 Division of Cardiology, Department of Internal Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 3 Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan
  • 4 Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan
  • 5 Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea
  • 6 Department of Cardiovascular Medicine, Gifu Heart Center, Gifu, Japan
  • 7 Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 8 Department of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
  • 9 Department of Cardiology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China
  • 10 Biomedical Instrument Institute, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China
  • 11 The Lambe Institute for Translational Medicine, The Smart Sensors Lab and Curam, National University of Ireland, University Road, Galway, Ireland
  • 12 Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Heart Centre, National University Health System, Singapore
  • 13 Department of Cardiology, Tokyo Medical University, Hachioji Medical Center, Tokyo, Japan
  • 14 Department of Internal Medicine and Cardiovascular Research Institute, Keimyung University Dongsan Hospital, Daegu, Korea
  • 15 Department of Cardiology, Concord Hospital, University of Sydney, Sydney, Australia
  • 16 Department of Cardiology, Wellington Hospital, Wellington, New Zealand
  • 17 Department of Cardiology, National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
  • 18 Department of Cardiology, Cardiac Vascular Sentral KL (CVSKL), Kuala Lumpur, Malaysia
  • 19 Department of Cardiology, Madras Medical Mission, Chennai, India
  • 20 Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou and Chang Gung University College of Medicine, Taoyuan, Taiwan
  • 21 Division of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Ibaraki, Japan
  • 22 Department of Cardiology, Ajou University Medical Center, Suwon, Korea
  • 23 Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Palo Alto, California, USA
  • 24 Hospital Clinico San Carlos IDISSC, Complutense University of Madrid, Madrid, Spain
JACC Asia, 2023 Oct;3(5):689-706.
PMID: 38095005 DOI: 10.1016/j.jacasi.2023.07.003

Abstract

Coronary physiologic assessment is performed to measure coronary pressure, flow, and resistance or their surrogates to enable the selection of appropriate management strategy and its optimization for patients with coronary artery disease. The value of physiologic assessment is supported by a large body of evidence that has led to major recommendations in clinical practice guidelines. This expert consensus document aims to convey practical and balanced recommendations and future perspectives for coronary physiologic assessment for physicians and patients in the Asia-Pacific region based on updated information in the field that including both wire- and image-based physiologic assessment. This is Part 1 of the whole consensus document, which describes the general concept of coronary physiology, as well as practical information on the clinical application of physiologic indices and novel image-based physiologic assessment.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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