<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0420</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Urug.Cardiol.]]></abbrev-journal-title>
<issn>1688-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-04202020000300191</article-id>
<article-id pub-id-type="doi">10.29277/cardio.35.3.13</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad de la reserva de flujo fraccional para guiar la revascularización en un paciente con síndrome coronario agudo sin elevación del segmento ST]]></article-title>
<article-title xml:lang="en"><![CDATA[Utility of fractional flow reserve to guide revascularization in patients with acute coronary syndrome without ST segment elevation]]></article-title>
<article-title xml:lang="pt"><![CDATA[Utilidade da reserva fracionária de fluxo para guiar a revascularização em paciente com síndrome coronariana aguda sem supradesnivelamento do segmento ST]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Briano]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Albistur]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mila]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Clínicas Centro Cardiovascular Universitario ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>35</volume>
<numero>3</numero>
<fpage>191</fpage>
<lpage>201</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-04202020000300191&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-04202020000300191&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-04202020000300191&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La reserva de flujo fraccional (FFR) es el patrón oro para evaluar la severidad funcional de una estenosis coronaria epicárdica. La revascularización guiada por fisiología coronaria ha demostrado su utilidad en la cardiopatía estable, pero también en el síndrome coronario agudo (SCA). Presentamos el caso de un paciente de 58 años con SCA, que presentó en la cineangiocoronariografía dos estenosis angiográficamente significativas, decidiéndose realizar una revascularización guiada por fisiología coronaria. Mediante la utilización de FFR, se determinó la necesidad de revascularizar solo una de las lesiones, llevando a un cambio en la conducta terapéutica que ejemplifica la virtud de contar con herramientas de estudio de la fisiología coronaria para la toma de decisiones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: 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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A reserva fracionária de fluxo é o padrão-ouro para avaliar a gravidade funcional de uma estenose coronariana epicárdica. A revascularização guiada pela fisiologia coronariana demonstrou ser útil em doenças cardíacas estáveis, mas também na síndrome coronariana aguda. Apresentamos o caso de um paciente de 58 anos com síndrome coronariana aguda, que apresentou duas estenoses angiograficamente significativas na angiografia coronariana, e decidiu realizar revascularização orientada pela fisiologia coronariana. Com o uso da reserva fracionária de fluxo, foi determinada a necessidade de revascularizar apenas uma das lesões, levando a uma mudança no comportamento terapêutico, que exemplifica a virtude de possuir ferramentas de fisiologia coronariana para a tomada de decisão.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Reserva de flujo fraccional]]></kwd>
<kwd lng="es"><![CDATA[Cuantificación de estenosis coronaria]]></kwd>
<kwd lng="es"><![CDATA[Revascularización guiada por isquemia]]></kwd>
<kwd lng="es"><![CDATA[Síndrome coronario agudo]]></kwd>
<kwd lng="en"><![CDATA[Fractional flow reserve]]></kwd>
<kwd lng="en"><![CDATA[Quantification of coronary stenosis]]></kwd>
<kwd lng="en"><![CDATA[Ischemia-guided revascularization]]></kwd>
<kwd lng="en"><![CDATA[Acute coronary syndrome]]></kwd>
<kwd lng="pt"><![CDATA[Reserva fracionada de fluxo]]></kwd>
<kwd lng="pt"><![CDATA[Quantificação de estenose coronariana]]></kwd>
<kwd lng="pt"><![CDATA[Revascularização guiada por isquemia]]></kwd>
<kwd lng="pt"><![CDATA[Sindrome coronariana aguda]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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