Related Experiment Video

Updated: Nov 15, 2025

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

5.5K

Physiologic Assessment after Coronary Stent Implantation

Doyeon Hwang1, Seokhun Yang1, Jinlong Zhang2

  • 1Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.

Korean Circulation Journal
|March 3, 2021
PubMed

Insights

Post-procedure physiologic assessment is crucial after coronary revascularization to confirm ischemia relief. This ensures percutaneous coronary intervention (PCI) effectiveness and guides further treatment for better patient outcomes.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Physiology

Background:

  • Myocardial ischemia must be present for coronary revascularization to be beneficial.
  • Physiology-guided revascularization, using fractional flow reserve and non-hyperemic pressure ratios, has demonstrated benefits.
  • Residual ischemia can persist in 15-20% of cases even after angiographically successful percutaneous coronary intervention (PCI).

Purpose of the Study:

  • To review the current evidence supporting post-PCI physiologic assessment.
  • To guide the interpretation of post-PCI physiologic findings.
  • To explore future directions in post-PCI physiologic assessment.

Main Methods:

  • Review of recent randomized studies and clinical evidence.
  • Analysis of diagnostic tools like fractional flow reserve and non-hyperemic pressure ratios.
  • Discussion of interpretation criteria for post-PCI hemodynamic measurements.

Main Results:

  • Physiology-guided revascularization does not always eliminate ischemia.
  • Post-PCI assessment is vital for evaluating PCI appropriateness and identifying lesions needing further intervention.
  • It aids in risk stratification after percutaneous coronary intervention.

Conclusions:

  • Post-PCI physiologic assessment is essential for confirming procedural success and optimizing patient care.
  • It helps in identifying residual ischemia and guiding subsequent treatment decisions.
  • Further research into post-PCI assessment techniques is warranted.

Keywords:
Fractional flow reserveNon-hyperemic pressure ratioOutcomesPercutaneous coronary intervention

More Related Videos

Evaluation of Hydration Status by Bioelectrical Impedance Vector Analysis in Patients with Ischemic Heart Disease Undergoing Exercise Stress Test10:21

Evaluation of Hydration Status by Bioelectrical Impedance Vector Analysis in Patients with Ischemic Heart Disease Undergoing Exercise Stress Test

Published on: September 22, 2023

824
Myocardial Infarction and Functional Outcome Assessment in Pigs12:03

Myocardial Infarction and Functional Outcome Assessment in Pigs

Published on: April 25, 2014

28.3K

Related Concept Videos

Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
86
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
121
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
379
Exercise Stress Test01:26

Exercise Stress Test

Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
703
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
126
Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
89