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Coronary Physiology in the Cardiac Cath Lab
- 1st Edition - November 1, 2024
- Author: William F. Fearon
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 9 9 6 3 4 - 1
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 9 6 3 5 - 8
Coronary Physiology in the Cardiac Cath Lab provides the foundational knowledge required to understand the concepts behind a variety of coronary physiologic assessments performed… Read more
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Request a sales quoteCoronary Physiology in the Cardiac Cath Lab provides the foundational knowledge required to understand the concepts behind a variety of coronary physiologic assessments performed and required to apply them effectively when evaluating cardiac patients. Written to bring a practical and evidence-based approach, this book is a valuable resource for interventional and general cardiologists, cardiology researchers, physicians, cardiac catheterization laboratory staff, and anyone interested in understanding the theory and current practice surrounding assessing coronary physiology in the cardiac cath lab.
Over the past decade, there has been an explosion of data validating the importance of assessing coronary physiology at the time of coronary angiography. This has led to the development of numerous new techniques and metrics for performing these assessments and also resulted in the inclusion of these indices into practice guidelines.
- Provides the theoretical basis and validation of the various coronary physiology indices measured in the cardiac cath labs
- Describes the role of these indices for guiding decisions regarding coronary revascularization in a variety of patient subsets
- Explains the utility of these indices for diagnosing coronary microvascular dysfunction
Interventional cardiologists, general cardiologists, cardiac cath lab staff, cardiology fellows and researchers, Industry partners who have relevant devices that are used for these techniques
1. Historical Background
The advent of coronary physiology in the cardiac cath labEarly angiographic techniques for assessing coronary physiologyCoronary flow reserve: theoretical basis and first description
2. Physiologic Assessment of the Epicardial Coronary System
The Metrics:Fractional flow reserve: theoretical basis and validationInstantaneous wave-free ration and other non-hyperemic pressure ratiosContrast fractional flow reserve and other indices of epicardial physiologyPractical aspects of measuring epicardial coronary physiologyEpicardial Coronary Physiology in Particular Settings:Patient with multivessel coronary diseasePatient with an acute coronary syndromePatient with serial lesions or diffuse coronary disease (focus on pressure pullback)Patient with left main or bifurcation coronary diseasePost PCI physiologic assessment
3. Physiologic Assessment of the Coronary Microvasculature
The Metrics:Index of microcirculatory resistance: theoretical basis and validation Hyperemic microvascular resistance and other measures of microvascular physiologyPractical aspects of measuring microvascular physiologyMicrovascular Physiology in Particular Settings:Patient with ischemia or chest pain and non-obstructed coronary arteries Patient with myocardial infarctionPatient with stable epicardial coronary diseasePatient with prior heart transplantation or cardiomyopathy
4. The Future of Coronary PhysiologyAngiography-derived assessment of coronary physiology
Future directions of coronary physiologic assessment in the cardiac cath lab
- No. of pages: 200
- Language: English
- Edition: 1
- Published: November 1, 2024
- Imprint: Academic Press
- Hardback ISBN: 9780323996341
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William F. Fearon
Dr. Fearon’s primary area of research interest is in coronary physiology. He has been the principal investigator of numerous multicenter clinical trials, including the FAME trials, which have resulted in multiple publications in the New England Journal of Medicine and led to worldwide adoption of the use of coronary physiology to guide revascularization decisions in the cardiac catheterization laboratory. He also derived and validated the index of microcirculatory resistance, which is now used commonly to assess coronary microvascular function. He has over 250 publications, speaks regularly at major international conferences, and serves on the editorial board of the Journal of the American College of Cardiology, Circulation, JACC Cardiovascular Interventions, and Circulation: Cardiovascular Interventions, among other journals. His research laboratory has had near continuous NIH funding and he is currently the principal investigator on an NIH grant evaluating cardiac allograft vasculopathy. He has received multiple teaching awards from Stanford University and has mentored numerous clinician-scientists.
Affiliations and expertise
Professor of Medicine and Director of Interventional Cardiology, Stanford University School of Medicine, Stanford, CA, USA