Invasive Coronary Microcirculation Assessment : Current Status of Index of Microcirculatory Resistance

DOI Web Site Web Site PubMed 被引用文献4件 参考文献47件
  • Kobayashi Yuhei
    Division of Cardiovascular Medicine, Stanford University Medical Center
  • Fearon William F
    Division of Cardiovascular Medicine, Stanford University Medical Center

書誌事項

タイトル別名
  • Invasive Coronary Microcirculation Assessment
  • – Current Status of Index of Microcirculatory Resistance –

この論文をさがす

抄録

Assessment of the coronary microvasculature in the clinical setting is a key issue, given that microvascular dysfunction itself has a predictive value for cardiovascular events. The index of microcirculatory resistance (IMR) is an invasive method of interrogating the microvasculature and provides further insight into the physiology of cardiovascular diseases. It is simple and readily applicable in the cardiac catheterization laboratory where many patients first present for evaluation of their coronary circulation. In contrast to other invasive and non-invasive tests, this method is known to be stable and reproducible under various hemodynamics and even in the presence of epicardial coronary artery stenosis. IMR has been shown to have prognostic value in patients with ST-segment elevation myocardial infarction; therefore it can be a surrogate marker of cardiovascular events. At the same time, it has the potential to be a therapeutic as well as an investigational tool in the physiology of cardiovascular diseases. This review summarizes the development of IMR, tips and tricks for its measurement, and its usefulness in various clinical settings.  (Circ J 2014; 78: 1021–1028)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 78 (5), 1021-1028, 2014

    一般社団法人 日本循環器学会

被引用文献 (4)*注記

もっと見る

参考文献 (47)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ