Abbott Coronary Microvascular Dysfunction Algorithm

Shigar Catheter

(c)

• Ruwan ruwa sosai 1
• Gudanar da Jagorar Coaxial 1
• Tabbatar babu damping1
  

(A)

Advance Waya

• Tambayi LAD sai dai idan akwai takamaiman yanki na sha'awa 2
• Firikwensin waya na gaba 2/3 distally a cikin jirgin ruwa 3
•  Gudanar da GTN/NTG1
  

(T)

Lokacin wucewa a Hutu

• Flush/purge pre-Tmn hutawa don share kowane jini da bambanci 3
• Saline zafin jiki 3
• Brisk 3 ml x 3 allurai 3
• Adireshin waje (± 0.25s) kafin a ci gaba 4*
  * Maimaita ma'aunin Tmn hutawa
  

(H)

Lokacin wucewar Hyperemic

• Yana haifar da hyperemia 5
• Tabbatar da hyperemia*6
• Flush/purge pre-Tmn hyp don share kowane jini da bambanci 6
• Saline zafin jiki 6
• Brisk 3 ml x 3 allurai 6
• Adireshin masu fita (± 0.15s) kafin a ci gaba 4**
  * Rage matsa lamba, alamun haƙuri, saukar FFR *
  * Maimaita ma'aunin Tmn hyp

(C)

Rikicin Gudun Gudun Jiki (CFR)

• CFR <2.5*4
• Yankin launin toka CFR 2.0-2.4*
  * Samuwar ijma'i
  

(M)

Fihirisar Juriya na Microcirculatory (IMR)

• Farashin ≥252
• Yi amfani da IMRcorr idan FFR ≤0.807
  

(D)

Bincike

• Bincike na CMD dangane da IMR ≥25 da CFR <2.5*2,4
• Yankin launin toka CFR 2.0-2.4*
• Koma zuwa jagorori da takaddun yarjejeniya2,4, 8-9
  * Samuwar ijma'i
  

GTN (glyceryl trinitrate) |
NTG (nitroglycerin) |
LAD (hagu na gaba mai saukowa) |
FFR (ajiya mai juzu'i) |
IMRcorr (IMR gyara) |
CMD (rashin lafiyar microvascular) |
Tmnrest (hutawa ma'ana lokacin wucewa) |
Tmnhyp (hyperemic transit mean time)

Magana: 

1. Berry C. Rarraba Rarraba Rarraba, Tsabtace Gudun Gudun Jiki da Fihirisar Juriya na Microvascular a cikin Ayyukan Clinical. Radcliffe Cardiology. 2014, 1-6.
2. Kunadian V, et al. Takardun Ƙwararrun Ƙwararrun Ƙwararru na EAPCI akan Ischaemia tare da Jijin Jiji marasa Kaya. EHJ. 2020; 0, 1-21.
3. Fearon W, et al. Ƙididdigar Ƙwararren Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru. Circ Cardiovasc Interv. 2017; 10: 005361
4. Perera D, et al. Kwayar cututtukan cututtukan cututtukan cututtukan jini a cikin marasa lafiya tare da angina da cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan jini. Zuciya. 2022; 0, 1-8.
5. Ford T, et al. Ƙwararren Ƙwararren Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru a Angina: Gwajin CorMicA. JACC. 2018, 72, 2841-55.
6. Ang D, et al. Tsare-tsare Tsakanin Ganewa: Jagoran Ayyuka don Kima Aikin Jijiyoyin Jijiya. JOVE 2022; 181, e2265.
7. Yong A, et al. Ƙididdiga na Fihirisar Ƙarfafa Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru. JACC: Cardiovasc Interv. 2013; 6, 53-8.
8. Knuuti J, et al. Hanyar ESC. EHJ. 2020; 41, 407-477.
9. Gulati M, et al. 2021 Jagoran Ciwon Ƙirji, Zagayawa. 2021; 144, e368-e454.

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Takardu / Albarkatu

	Abbott Coronary Microvascular Dysfunction Algorithm [pdf] Jagorar mai amfani Moronary microviscular dysfunction algorithm, microvascular dysfunction algorithm, dysfunction algorithm, algorithm
	Abbott Coronary Microvascular Dysfunction Algorithm [pdf] Jagoran Jagora Moronary microviscular dysfunction algorithm, microvascular dysfunction algorithm, dysfunction algorithm, algorithm

Magana

• Manual mai amfani