Chest pain other diagnostic studies: Difference between revisions

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{{Chest pain}}
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{{CMG}}{{AE}} {{Sara.Zand}} {{Aisha}}
==Overview==
==Overview==
[[Invasive Coronary Angiography]] ([[ICA]])  is used to determine the presence and severity of a luminal obstruction of an [[epicardial coronary artery]],  including its [[location]], [[length]], and [[diameter]], as well as [[coronary blood flow]]. [[ICA]] provides the characterization of high-grade obstructive stenosis and possibility for percutaneous or [[surgical revascularization]]. ([[IFR]]  and  [[FFR]]) provide  [[physiologic]] characteristic of stenosis. [[Radiation]]  exposure to  the [[patient]]  during an  [[interventional  procedure]] varied 4 to 10 mSv and is dependent on [[procedural duration]] and complexity. The spatial resolution of [[ICA]] is 0.3 mm; as such, it is impossible  to visualize [[arterioles]] (diameter  of  0.1  mm)  that  regulate [[ myocardial  blood  flow]]. [[Coronary  vascular  functional]]  studies  can  be  performed  during  [[coronary  angiography]]. In  normal [[ coronary angiography]] there may be evident  abnormal  [[coronary  vascular  function]]. Assessment of [[coronary  microcirculation]] and  [[coronary vasomotion]] by [[coronary function testing]] are reasonable.
[[Invasive Coronary Angiography]] ([[ICA]])  is used to determine the presence and severity of a luminal obstruction of an [[epicardial coronary artery]],  including its [[location]], [[length]], and [[diameter]], as well as [[coronary blood flow]]. [[ICA]] provides the characterization of high-grade obstructive stenosis and possibility for percutaneous or [[surgical revascularization]]. ([[IFR]]  and  [[FFR]]) provide  [[physiologic]] characteristic of stenosis. [[Radiation]]  exposure to  the [[patient]]  during an  [[interventional  procedure]] varied 4 to 10 mSv and is dependent on [[procedural duration]] and complexity. The spatial resolution of [[ICA]] is 0.3 mm; as such, it is impossible  to visualize [[arterioles]] (diameter  of  0.1  mm)  that  regulate [[ myocardial  blood  flow]]. [[Coronary  vascular  functional]]  studies  can  be  performed  during  [[coronary  angiography]]. In  normal [[ coronary angiography]] there may be evident  abnormal  [[coronary  vascular  function]]. Assessment of [[coronary  microcirculation]] and  [[coronary vasomotion]] by [[coronary function testing]] are reasonable.

Revision as of 18:55, 23 December 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Aisha Adigun, B.Sc., M.D.[3]

Overview

Invasive Coronary Angiography (ICA) is used to determine the presence and severity of a luminal obstruction of an epicardial coronary artery, including its location, length, and diameter, as well as coronary blood flow. ICA provides the characterization of high-grade obstructive stenosis and possibility for percutaneous or surgical revascularization. (IFR and FFR) provide physiologic characteristic of stenosis. Radiation exposure to the patient during an interventional procedure varied 4 to 10 mSv and is dependent on procedural duration and complexity. The spatial resolution of ICA is 0.3 mm; as such, it is impossible to visualize arterioles (diameter of 0.1 mm) that regulate myocardial blood flow. Coronary vascular functional studies can be performed during coronary angiography. In normal coronary angiography there may be evident abnormal coronary vascular function. Assessment of coronary microcirculation and coronary vasomotion by coronary function testing are reasonable.

Other Diagnostic Studies

References