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Using Coronary Physiology in Novel and Challenging Diagnostic Settings (CHF, STEMI, CABG and ACS) - Dr. Sayan Sen

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Speaker: Dr Sayan Sen, Consultant Cardiologist, Imperial College Healthcare NHS Trust, London, UK 

Dr Sayan Sen discusses the use of coronary physiology in patients with acute coronary syndromes (ACS) and non-culprit NSTEMI, chronic heart failure (CHF) and coronary artery bypass grafting (CABG).

Key learning points:

  • Caution should be used when measuring FFR in culprit artery after ACS or PPCI
  • Systolic heart failure can elevate RA pressure leading to underestimation of FFR value
  • Venous grafts have a different pathology, and deferal differs when compared to arterial vessels
  • Clinical trial data predominately in stable coronary disease

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