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