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Updated: Apr 2, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Coronary physiology assessment in the catheterization laboratory
Felipe Díez-Delhoyo1, Enrique Gutiérrez-Ibañes1, Gerard Loughlin1
1Felipe Díez-delhoyo, Enrique Gutiérrez-Ibañes, Gerard Loughlin, Ricardo Sanz-Ruiz, María Eugenia Vázquez-Álvarez, Fernando Sarnago-Cebada, Rocío Angulo-Llanos, Ana Casado-Plasencia, Jaime Elízaga-Corrales, Francisco Fernández Avilés Diáz, Instituto de Investigación Sanitaria Gregorio Marañón, Servicio de Cardiología, Departamento de Medicina, Universidad Complutense de Madrid, 28007 Madrid, Spain.
Physicians need more than just angiograms to assess coronary artery stenosis. Understanding coronary vascular physiology and available assessment methods improves diagnosis and patient care.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Angiography alone is insufficient for evaluating epicardial coronary artery stenosis in patients with myocardial ischemia.
- Accurate assessment requires integrating anatomical information with functional data.
Purpose of the Study:
- To summarize current methods for comprehensive assessment of coronary physiology.
- To highlight the importance of physiological assessment in clinical decision-making.
Main Methods:
- Review of current invasive techniques for coronary physiological assessment.
- Discussion of diagnostic and prognostic implications of physiological data.
Main Results:
- Current methods allow for a thorough assessment of coronary physiology.
- Integrating physiological data enhances diagnostic and prognostic accuracy.
Conclusions:
- Physicians should not rely solely on angiographic appearance.
- Knowledge of coronary vascular physiology and its assessment methods is crucial for improving patient outcomes.
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