How good are experienced cardiologists at predicting the hemodynamic severity of coronary stenoses when taking fractional flow reserve as the gold standard

Coronary angioplasty should be based on documented ischemia. However, in daily clinical practice the indication for angioplasty is often based on eyeball assessment of the severity of the stenosis. This study was performed to assess the accuracy of eyeball estimation of coronary stenosis when taking...

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Bibliographic Details
Published in:The international journal of cardiovascular imaging 2002-04, Vol.18 (2), p.73-76
Main Authors: BRUEREN, B. R. G, TEN BERG, J. M, SUTTORP, M. J, BAL, E. T, ERNST, J. M. P. G, MAST, E. G, PLOKKER, H. W. M
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Cardiovascular system
Coronary Circulation
Coronary Stenosis - diagnosis
Coronary Stenosis - diagnostic imaging
Coronary Stenosis - physiopathology
Female
Humans
Investigative techniques of hemodynamics
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Predictive Value of Tests
Radiography
Risk Factors
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Summary:Coronary angioplasty should be based on documented ischemia. However, in daily clinical practice the indication for angioplasty is often based on eyeball assessment of the severity of the stenosis. This study was performed to assess the accuracy of eyeball estimation of coronary stenosis when taking functional flow reserve (FFR) as gold standard. Study lesions were where no mutual agreement on the severity of the stenosis was obtained. The procedure consisted of a repeat control angiogram, FFR measurement and in case of FFR
ISSN:1569-5794
1875-8312
1573-0743
DOI:10.1023/A:1014638917413