Physiological assessment of coronary artery disease in the cardiac catheterization laboratory : A scientific statement from the american heart association committee on diagnostic and interventional cardiac catheterization, council on clinical cardiology

• Published in: Circulation (New York, N.Y.) Vol. 114; no. 12; pp. 1321 - 1341
• Main Authors: KERN, Morton J, LERMAN, Amir, PIJLS, Nico H. J, SIEBES, Maria, SPAAN, Jos A. E, BECH, Jan-Willen, DE BRUYNE, Bernard, EECKHOUT, Eric, FEARON, William F, HIGANO, Stuart T, LIM, Michael J, MEUWISSEN, Martijn, PIEK, Jan J
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 19.09.2006
• Subjects: American Heart Association; Angioplasty, Balloon, Coronary; Biological and medical sciences; Blood and lymphatic vessels; Cardiac Catheterization - methods; Cardiology. Vascular system; Cardiovascular System - physiopathology; Collateral Circulation; Coronary Artery Disease - diagnosis; Coronary Artery Disease - physiopathology; Coronary Artery Disease - therapy; Coronary Circulation; Coronary heart disease; Coronary Vessels - physiopathology; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Endothelium, Vascular - physiopathology; Heart; Heart failure, cardiogenic pulmonary edema, cardiac enlargement; Humans; Medical sciences; Prognosis; American; Angiography; Catheterization; Cardiovascular disease; Diagnosis; Coronary heart disease; AHA Scientific Statements
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/CIRCULATIONAHA.106.177276

With advances in technology, the physiological assessment of coronary artery disease in patients in the catheterization laboratory has become increasingly important in both clinical and research applications, but this assessment has evolved without standard nomenclature or techniques of data acquisition and measurement. Some questions regarding the interpretation, application, and outcome related to the results also remain unanswered. Accordingly, this consensus statement was designed to provide the background and evidence about physiological measurements and to describe standard methods for data acquisition and interpretation. The most common uses and support data from numerous clinical studies for the physiological assessment of coronary artery disease in the cardiac catheterization laboratory are reviewed. The goal of this statement is to provide a logical approach to the use of coronary physiological measurements in the catheterization lab to assist both clinicians and investigators in improving patient care.