CardioExchange, an NEJM practice community for medical professionals dedicated to improving cardiac patient care, was active from 2009 to 2015. CardioExchange fostered discussion between clinicians from across the globe.
July 15th, 2010
ACCF/SCAI Premier Interventional Cardiology Overview and Board Preparatory Course
Patients with shrinking cognitive bandwidth may feel their disability keenly in daily life, even if they can pass a controlled test of cognitive capacity. How should clinicians approach and care for them?
Among patients with intermediate coronary lesions, angiography-guided revascularization was noninferior to pressure-wire–based guidance with respect to death, myocardial infarction, or revascularization.
Since the introduction of percutaneous coronary intervention (PCI) in the late 1970s, the field has evolved immensely with respect to indications, devices, and adjunctive pharmacotherapy. One of the defining transitions was the move from anatomy-guided PCI, based largely on subjective angiographic eyeballing, to physiology-guided revascularization. The Fractional Flow Reserve versus...
The author describes the scientific foundations of two trials comparing how noninvasive and invasive assessments of fractional flow reserve affect clinical outcomes.
Randomized trials have shown that physiological assessment of coronary lesions with a coronary pressure wire improves outcomes and reduces unnecessary percutaneous coronary intervention (PCI) as compared with angiography-guided care.1 However, despite class I guideline recommendations, coronary physiological assessment remains underused.2 Angiography-derived fractional flow reserve (FFR) has...