Literature DB >> 23685304

How should I treat a patient with typical angina, typical angiography, negative FFR?

Alexander Jabs1, Ulrich Hink, Massimo Fineschi, Thomas Münzel, Tommaso Gori, Bon-Kwon Koo, Ricardo Petraco, Sayan Sen, Sukhjinder Nijjer, Justin E Davies.   

Abstract

BACKGROUND: A 63-year-old man was referred for cardiac catheterisation for typical angina. At angiography, high-grade stenosis of the first diagonal branch, of the proximal circumflex and of an intermediate branch was found. After treatment of the diagonal branch, fractional flow reserve of the circumflex and intermediate branch was negative, but symptoms persisted. INVESTIGATION: Physical examination, laboratory test, stress echocardiography, fractional flow reserve, coronary flow reserve. DIAGNOSIS: Complex interaction between epicardial stenosis and microvascular hyporeactivity. MANAGEMENT: Stenting.

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Year:  2013        PMID: 23685304     DOI: 10.4244/EIJV9I1A22

Source DB:  PubMed          Journal:  EuroIntervention        ISSN: 1774-024X            Impact factor:   6.534


  1 in total

Review 1.  Diagnosis of coronary microvascular dysfunction - Present status.

Authors:  S R Mittal
Journal:  Indian Heart J       Date:  2015-11-06
  1 in total

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