The cloak of calcium: Coronary angiography is not to be trusted

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<jats:title>Key Points</jats:title><jats:p><jats:list list-type="bullet"> <jats:list-item><jats:p>Heavily calcified coronary arteries may mask lesions.</jats:p></jats:list-item> <jats:list-item><jats:p>There is no correlation between angiographic determination of stenosis severity 40–80% and intracoronary measurements of fractional flow reserve and Pd/Pa in heavily calcified lesions.</jats:p></jats:list-item> <jats:list-item><jats:p>It is essential to perform additional intracoronary hemodynamic measurements or invasive imaging to determine the significance of calcified coronary lesions.</jats:p></jats:list-item> </jats:list></jats:p>

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