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Coronary Flow Velocity Reserve Assessment with Transthoracic Doppler Echocardiography

Iana Simova1

  • 1National Cardiology Hospital, Sofia, Bulgaria.

European Cardiology
|October 13, 2018
PubMed

Insights

Coronary flow velocity reserve (CFVR) measured non-invasively by Doppler echocardiography assesses coronary artery disease. This valuable tool aids in diagnosing microvascular dysfunction and evaluating coronary lesions, offering prognostic insights.

Area of Science:

  • Cardiovascular Medicine
  • Diagnostic Imaging
  • Physiology

Background:

  • Coronary flow velocity reserve (CFVR) is a key indicator of coronary atherosclerotic burden, endothelial function, and microvascular health.
  • Non-invasive measurement via transthoracic Doppler echocardiography is feasible, reliable, and reproducible.
  • Standardized protocols with vasodilatory stimuli enhance CFVR assessment.

Purpose of the Study:

  • To highlight the utility of CFVR measurement in clinical practice.
  • To establish CFVR as a diagnostic tool for coronary microvascular dysfunction.
  • To assess the role of CFVR in evaluating epicardial coronary artery stenoses and guiding patient follow-up.

Main Methods:

  • Utilizing transthoracic Doppler echocardiography for CFVR measurement.
  • Employing standardized protocols with vasodilatory agents.
  • Comparing CFVR with established methods for assessing coronary artery disease.

Main Results:

  • CFVR measurement is a recommended complement to vasodilator stress echocardiography.
  • CFVR serves as a diagnostic tool for coronary microvascular dysfunction.
  • CFVR aids in assessing the functional significance of coronary lesions and patient prognosis.

Conclusions:

  • Non-invasive CFVR assessment is a valuable, reliable, and reproducible method.
  • CFVR measurement offers significant diagnostic and prognostic information in various cardiovascular conditions.
  • CFVR is crucial for managing patients with coronary artery disease, including post-intervention follow-up.

Keywords:
Coronary flow velocity reserveechocardiographynon-invasive

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