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Physiological assessment of coronary stenoses and the microcirculation

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Physiological assessment of coronary stenoses and the microcirculation/ edited by Javier Escaned, Justin Davies.
other author:	Escaned, Javier.
Published:	London :Springer London : : 2017.,
Description:	xiii, 313 p. :ill., digital ; : 24 cm.;
Contained By:	Springer eBooks
Subject:	Coronary arteries - Stenosis. -
Online resource:	http://dx.doi.org/10.1007/978-1-4471-5245-3
ISBN:	9781447152453

Physiological assessment of coronary stenoses and the microcirculation
Physiological assessment of coronary stenoses and the microcirculation[electronic resource] /edited by Javier Escaned, Justin Davies. - London :Springer London :2017. - xiii, 313 p. :ill., digital ;24 cm.

Since the introduction of coronary angiography, a key technique in understanding coronary artery disease, a number of paradigms regarding its study and interpretation have taken place. Following an emphasis on improved angiographic and subsequent intracoronary imaging techniques, functional assessment of coronary circulation has demonstrated to have major implications for diagnosis and treatment of coronary artery disease. Fractional flow reserve, a pressure derived index of stenosis severity, constitutes the best example of the current importance of physiological assessment in clinical practice. However, the acceptance of FFR by cardiologists contrasts with important voids in knowledge on the basic principles of coronary physiology and of other available techniques that, as an alternative to FFR, allow a more comprehensive assessment of coronary circulation. This is particularly noticeable in the assessment of microcirculation, an unavoidable compartment of coronary circulation that is frequently affected in acute coronary syndromes of in the presence of cardiovascular risk factors or non-coronary heart disease. A deeper understanding of the relationship between epicardial vessel and microcirculatory involvement has started with the advent of newer imaging techniques like invasive optical coherence tomography, and non-invasive CT and NMR techniques. This book aims to be an indispensable tool for clinicians and researches in the field of coronary artery disease. It provides a balanced, comprehensive review of anatomy, physiology and available techniques, discusses both the diagnosis of epicardial vessel and microcirculatory disease, the impact of different diseases at different levels of coronary circulation, and the best way to address a separate or combined assessment of different levels of coronary circulation.

ISBN: 9781447152453

Standard No.: 10.1007/978-1-4471-5245-3doiSubjects--Topical Terms:

1200341
Coronary arteries
--Stenosis.

LC Class. No.: RC685.C58

Dewey Class. No.: 616.123

Physiological assessment of coronary stenoses and the microcirculation
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520 $a Since the introduction of coronary angiography, a key technique in understanding coronary artery disease, a number of paradigms regarding its study and interpretation have taken place. Following an emphasis on improved angiographic and subsequent intracoronary imaging techniques, functional assessment of coronary circulation has demonstrated to have major implications for diagnosis and treatment of coronary artery disease. Fractional flow reserve, a pressure derived index of stenosis severity, constitutes the best example of the current importance of physiological assessment in clinical practice. However, the acceptance of FFR by cardiologists contrasts with important voids in knowledge on the basic principles of coronary physiology and of other available techniques that, as an alternative to FFR, allow a more comprehensive assessment of coronary circulation. This is particularly noticeable in the assessment of microcirculation, an unavoidable compartment of coronary circulation that is frequently affected in acute coronary syndromes of in the presence of cardiovascular risk factors or non-coronary heart disease. A deeper understanding of the relationship between epicardial vessel and microcirculatory involvement has started with the advent of newer imaging techniques like invasive optical coherence tomography, and non-invasive CT and NMR techniques. This book aims to be an indispensable tool for clinicians and researches in the field of coronary artery disease. It provides a balanced, comprehensive review of anatomy, physiology and available techniques, discusses both the diagnosis of epicardial vessel and microcirculatory disease, the impact of different diseases at different levels of coronary circulation, and the best way to address a separate or combined assessment of different levels of coronary circulation.
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