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Assessing Coronary Blood Flow Physiology in the Cardiac Catheterisation Laboratory

Sethumadhavan Vijayan1, David S Barmby2, Ian R Pearson3

  • 1Interventional Fellow, Department of Cardiology, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, United Kingdom.

Current Cardiology Reviews
|May 27, 2017
PubMed

Insights

Assessing myocardial perfusion is crucial for evaluating coronary revascularization effectiveness. This review covers current methods for measuring coronary blood flow and perfusion in cardiac catheterization labs.

Area of Science:

  • Cardiology
  • Cardiovascular Physiology

Background:

  • Coronary disease management traditionally targets epicardial vessel stenoses.
  • Myocardial blood flow depends on epicardial patency, myocardial territory, blood pressure, vascular tone, and microvascular/myocardial disease.
  • Accurate assessment of myocardial perfusion is vital for evaluating revascularization outcomes.

Purpose of the Study:

  • To review current methods for evaluating coronary blood flow.
  • To discuss techniques for assessing myocardial perfusion within the cardiac catheterization laboratory.

Main Methods:

  • Review of existing literature and techniques for coronary blood flow assessment.
  • Analysis of methods used in cardiac catheterization laboratories for myocardial perfusion evaluation.

Main Results:

  • Current methods for assessing coronary blood flow and myocardial perfusion are diverse.
  • The review synthesizes various techniques available in catheterization labs.

Conclusions:

  • Comprehensive assessment of myocardial perfusion is essential for effective coronary disease management.
  • Cardiac catheterization laboratories employ multiple methods to evaluate coronary blood flow and perfusion.
Abstract

Keywords:
Coronary physiologyautoregulationcoronary blood flow measurementepicardial vesselsmicrovascular resistancemyocardial blood flowstenoses

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