SciELO - Scientific Electronic Library Online

 
vol.35 issue3Sport: physiological modifications and evaluation for the prevention of sudden death (Part II). Athlete`s heart author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Related links

Share


Revista Uruguaya de Cardiología

Print version ISSN 0797-0048On-line version ISSN 1688-0420

Abstract

BRIANO, Victoria; ALBISTUR, Juan  and  MILA, Rafael. Utility of fractional flow reserve to guide revascularization in patients with acute coronary syndrome without ST segment elevation. Rev.Urug.Cardiol. [online]. 2020, vol.35, n.3, pp.191-201.  Epub Dec 01, 2020. ISSN 0797-0048.  https://doi.org/10.29277/cardio.35.3.13.

Fractional flow reserve is the gold standard for evaluating the functional severity of an epicardial coronary stenosis. Coronary physiology-guided revascularization has been shown to be useful in stable heart disease, but also in acute coronary syndrome. We present the case of a 58-year-old patient with acute coronary syndrome, who presented two angiographically significant stenosis. We decided to perform revascularization guided by coronary physiology. Using fractional flow reserve, the need to revascularize only one of the lesions was determined, leading to a change in therapeutic behavior that exemplifies the virtue of having coronary physiology tools for decision-making.

Keywords : Fractional flow reserve; Quantification of coronary stenosis; Ischemia-guided revascularization; Acute coronary syndrome.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )