Measuring Absolute Coronary Flow and Microvascular Resistance by Thermodilution

被引：28

作者：

Belmonte, Marta ^{[1
,2
]}

Gallinoro, Emanuele ^{[1
,3
]}

Pijls, Nico H. J. ^{[4
,19
]}

Bertolone, Dario Tino ^{[1
]}

Keulards, Danielle C. J. ^{[4
,5
]}

Viscusi, Michele Mattia ^{[1
,2
]}

Storozhenko, Tatyana ^{[1
]}

Mizukami, Takuya ^{[1
]}

Mahendiran, Thabo ^{[1
,6
]}

Seki, Ruiko ^{[1
]}

Fournier, Stephane ^{[6
]}

de Vos, Annemiek ^{[5
]}

Adjedj, Julien ^{[7
]}

Barbato, Emanuele ^{[8
]}

Sonck, Jeroen ^{[1
]}

Damman, Peter ^{[9
]}

Keeble, Thomas ^{[10
,11
]}

Fawaz, Samer ^{[10
,11
]}

Gutierrez-Barrios, Alejandro ^{[12
,13
]}

Paradies, Valeria ^{[14
]}

Bouisset, Frederic ^{[1
]}

Kern, Morton J. ^{[15
]}

Fearon, William F. ^{[16
,17
]}

Collet, Carlos ^{[1
]}

De Bruyne, Bernard ^{[1
,5
,18
]}

机构：

[1] Cardiovasc Ctr Aalst, OLV Clin, Aalst, Belgium

[2] Univ Federico II, Dept Adv Biomed Sci, Naples, Italy

[3] Galeazzi St Ambrogio Hosp, Cardiol Dept, Milan, Italy

[4] Catharina Hosp, Dept Cardiol, Eindhoven, Netherlands

[5] Eindhoven Univ Technol, Dept Biomed Engn, Eindhoven, Netherlands

[6] Lausanne Univ Hosp, Dept Cardiol, Lausanne, Switzerland

[7] Inst Arnault Tzanck, Dept Gastroenterol & Hepatol, St Laurent Du Var, France

[8] Sapienza Univ Rome, Dept Clin & Mol Med, Rome, Italy

[9] Radboud Univ Nijmegen, Med Ctr, Dept Cardiol, Nijmegen, Netherlands

[10] Mid South Essex NHS Fdn Trust, Essex Cardiothorac Ctr, Basildon, Essex, England

[11] Anglia Ruskin Sch Med, Med Technol Res Ctr, Chelmsford, Essex, England

[12] Hosp Puerta Mar, Cardiol Dept, Cadiz, Spain

[13] Inst Invest & Innovac Ciencias Biomed Cadiz, Cadiz, Spain

[14] Maasstad Hosp, Dept Cardiol, Rotterdam, Netherlands

[15] Vet Adm Long Beach Hlth Care Syst, Long Beach, CA USA

[16] Stanford Med Ctr Palo Alto, Dept Med, Div Cardiol, Palo Alto, CA USA

[17] VA Palo Alto Hlth Care Syst, Palo Alto, CA USA

[18] OLV Clin, Cardiovasc Ctr Aalst, Moorselbaan 164, B-9300 Aalst, Belgium

[19] Catharina Hosp, Cardiol, Michelangelo Ave 2, NL-5623 EJ Eindhoven, Netherlands

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2024年 / 83卷 / 06期

关键词：

absolute coronary flow; ANOCA; continuous intracoronary thermodilution; coronary microcirculation; microvascular resistance reserve; BLOOD-FLOW; HYDROSTATIC-PRESSURE; CARDIAC-OUTPUT; RESERVE; DYSFUNCTION; VALIDATION; ALGORITHM; ISCHEMIA; ARTERIES;

D O I：

10.1016/j.jacc.2023.12.014

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Diagnosing coronary microvascular dysfunction remains challenging, primarily due to the lack of direct measurements of absolute coronary blood flow (Q) and microvascular resistance (R-mu). However, there has been recent progress with the development and validation of continuous intracoronary thermodilution, which offers a simplified and validated approach for clinical use. This technique enables direct quantification of Q and R-mu, leading to precise and accurate evaluation of the coronary microcirculation. To ensure consistent and reliable results, it is crucial to follow a standardized protocol when performing continuous intracoronary thermodilution measurements. This document aims to summarize the principles of thermodilution-derived absolute coronary flow measurements and propose a standardized method for conducting these assessments. The proposed standardization serves as a guide to ensure the best practice of the method, enhancing the clinical assessment of the coronary microcirculation.

引用

页码：699 / 709

页数：11

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