Evidence map›Paper›PMID 36386338›Full record

ArticleFrontiers in cardiovascular medicine2022

Comparative analysis of instantaneous wave-free ratio and quantitative real-time myocardial contrast echocardiography for the assessment of myocardial perfusion.

Li Liang, Yongxiang Zhu, Fangfang Li, Kai Guo, Shang Chang, Qian Li, Yaojun Zhang, Dongye Li

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Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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8 authors.

Li LiangDepartment of Cardiology, Xuzhou Cancer Hospital, Xuzhou Medical University, Xuzhou, China.
Yongxiang ZhuDepartment of Cardiology, Xuzhou Cancer Hospital, Xuzhou Medical University, Xuzhou, China.
Fangfang LiDepartment of Cardiology, Xuzhou Cancer Hospital, Xuzhou Medical University, Xuzhou, China.
Kai GuoDepartment of Cardiology, Xuzhou Cancer Hospital, Xuzhou Medical University, Xuzhou, China.
Shang ChangDepartment of Cardiology, Xuzhou Cancer Hospital, Xuzhou Medical University, Xuzhou, China.
Qian LiDepartment of Cardiology, Xuzhou Cancer Hospital, Xuzhou Medical University, Xuzhou, China.
Yaojun ZhangDepartment of Cardiology, Xuzhou Cancer Hospital, Xuzhou Medical University, Xuzhou, China.
Dongye LiDepartment of Cardiology, Institute of Cardiovascular Diseases, Xuzhou Medical University, Xuzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and hypothesis: The field of coronary artery physiology is developing rapidly and changing the practice of interventional cardiology. A new functional evaluation technique using the instantaneous wave-free ratio (iFR) has become an alternative to fractional flow reserve. Future research studies need to determine whether physiological indicators play a role in evaluating myocardial perfusion in the catheter room. Materials and methods: Thirty-eight patients scheduled for coronary angiography and iFR evaluation underwent a real-time myocardial contrast echocardiography (RT-MCE) examination at rest. The myocardial perfusion parameters (A, β, and A × β) on the myocardial perfusion curve were quantitatively analyzed using Q-Lab software. Coronary angiography and iFR assessment were completed within 1 week after the RT-MCE examination in all patients. Correlation analysis was used to identify iFR- and MCE-related indicators. The sensitivity and specificity of iFR in the quantitative detection of coronary microcirculation were obtained. Results: The correlation coefficients between iFR and A, β, and A × β were 0.81, 0.66, and 0.82, respectively. The cut-off value for iFR was 0.85 for microvascular ischemia detection, while the sensitivity and specificity for the diagnosis of myocardial perfusion were 90.7 and 89.9%, respectively. The receiver operating characteristic (ROC) curve area for iFR was 0.946 in the segments related to myocardial blood flow. Conclusion: The iFR is an effective tool for detecting myocardial microcirculation perfusion, with satisfactory diagnostic performance and a demonstrated role in physiological indices used for the perfusion assessment.

Indexed as

coronary microcirculationcoronary physiologyinstantaneous wave-free ratiomyocardial perfusionRT-MCE

Identifiers

PMID36386338
PMCPMC9643158

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