Protocolo de utilización de pruebas intervencionistas en la cardiopatía isquémica crónica

  1. Viéitez Flórez, J.M. 1
  2. García Rivas, S. 1
  3. Monteagudo Ruiz, J.M. 1
  4. Zamorano Gómez, J.L. 1
  1. 1 Servicio de Cardiología, Hospital Universitario Ramón y Cajal, Madrid, España
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2021

Issue Title: Enfermedades cardiovasculares (III)

Series: 13

Issue: 37

Pages: 2161-2164

Type: Article

DOI: 10.1016/J.MED.2021.06.025 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Invasive coronary arteriography (ICA) is the most important test for the diagnosis of ischaemic heart disease. It is essential to know its indications and the different additional tests that can be performed during cardiac catheterisation. The indications for ICA are a very high clinical likelihood of ischaemic heart disease with high-risk characteristics or extensive areas of ischaemia on non-invasive tests. Invasive functional testing is indicated for angiographically borderline lesions, such as fractional flow reserve. If there are no angiographically significant lesions, we must rule out microvascular dysfunction with tests such as coronary flow reserve. We must also rule out vasospastic angina with vasospasm provocation testing.

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Data source: Dialnet