Chest pain other diagnostic studies: Difference between revisions
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==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
*[[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]]. | * [[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 the possibility for percutaneous or [[surgical revascularization]]. | * [[ICA]] provides the characterization of high-grade obstructive stenosis and the possibility for percutaneous or [[surgical revascularization]]. | ||
* ([[IFR]] and [[FFR]]) provide [[physiologic]] characteristic of stenosis. | * ([[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. | * [[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]]. | * 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 evidence of abnormal [[coronary vascular function]]. | * In normal [[ coronary angiography]] there may be evidence of abnormal [[coronary vascular function]]. | ||
* Assessment of [[coronary microcirculation]] and [[coronary]] [[vasomotion]] by [[coronary]] [[function testing]] are reasonable. | * Assessment of [[coronary microcirculation]] and [[coronary]] [[vasomotion]] by [[coronary]] [[function testing]] are reasonable. | ||
Revision as of 18:56, 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
- 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 the 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 evidence of abnormal coronary vascular function.
- Assessment of coronary microcirculation and coronary vasomotion by coronary function testing are reasonable.