摘要
一直以来,冠状动脉造影术评估的冠状动脉狭窄严重程度都是指导冠心病血运重建与药物治疗的主要标准,然而由冠状动脉压力或血流引起的生理功能改变逐渐进入临床介入医师的视野,作为心脏介入医师,应将指导介入的策略由解剖转向生理。与可以直接影响患者的治疗不同,一种有价值的诊断性检查必须能够帮助决策者作出正确的决定,进而影响临床结局,临床结局是评估诊断性检查的金标准。在侵入性的冠状动脉造影过程中完成血流储备分数检查,可以综合评估冠状动脉的解剖与生理,是目前判断冠状动脉狭窄是否引起心肌缺血的金标准。
For a long time,coronary angiography evaluation on the severity of coronary artery stenosis is the main criteria of guiding drug treatment and coronary revascularization,however,physiologic function defined by coronary pressure and/or flow has gradually come into clinical interventional physicians′vision,and as cardiac interventional physicians,we should turn the intervention strategy from anatomic to physiologic.Different from the treatment which can directly affect the patients,a valuable diagnostic examination must be able to help the decision-makers to make a right decision,and influence the clinical outcome,and the clinical outcome is the gold standard for evaluating the diagnostic examination.Completing the examination of blood flow reserve during the process of invasive coronary angiography could provide a comprehensive assessment of coronary anatomy and physiology,which is the gold standard to determine whether a coronary artery stenosis could cause myocardial ischemia.
作者
刘青波
陈晖
LIU Qingbo;CHEN Hui(Department of Heart Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《医学综述》
2018年第13期2502-2506,共5页
Medical Recapitulate
关键词
冠状动脉
冠状动脉血流储备
血运重建
微循环阻力指数
Coronary
Coronary flow reserve
Revascularization
Index of microcirculatory resistance
