Abbott Coronary Microvascular Dysfunction Algorithm

Mmekọrịta Catheter

(c)

• Sachaa nke ọma 1
• Ntinye aka Coaxial ndu 1
• Gbaa mbọ hụ na ọ nweghị damping1
  

(A)

Ọganihu Waya

• Jụọ LAD ajụjụ ma ọ bụrụ na enwere mpaghara mmasị 2
• Ọganihu waya sensọ 2/3 dị anya n'ime arịa 3
•  Jikwaa GTN/NTG1
  

(T)

Oge mbufe na ezumike

• Flush/sachapụ tupu Tmn izu ike iji kpochapụ ọbara ọ bụla na ọdịiche 3
• Saline okpomọkụ ụlọ 3
• Brisk 3 ml x 3 injections 3
• Adreesị mpụga (± 0.25s) tupu ịga n'ihu 4*
  * Tinyegharịa nha izu ike Tmn
  

(H)

Oge mbufe hyperemic

• Na-akpata hyperemia 5
• Kwado hyperemia*6
• Ghichaa/sachapụ tupu Tmn hyp iji kpochapụ ọbara ọ bụla na ọdịiche 6
• Saline okpomọkụ ụlọ 6
• Brisk 3 ml x 3 injections 6
• Adreesị mpụga (± 0.15s) tupu ịga n'ihu 4**
  * Mbelata nrụgide, mgbaàmà ndị ọrịa, ọdịda FFR *
  * Tinyegharịa nha Tmn hyp

(C)

Nchekwa ikuku Coronary (CFR)

• CFR <2.5*4
• Mpaghara isi awọ CFR 2.0-2.4*
  * Nkwekọrịta na-agbanwe agbanwe
  

(M)

Ndepụta nke Nguzogide Microcirculatory (IMR)

• IMR ≥252
• Jiri IMRcorr ma ọ bụrụ FFR ≤0.807
  

(D)

Nchọpụta nchọpụta

• Nchọpụta nke CMD dabere na IMR ≥25 na CFR <2.5*2,4
• Mpaghara isi awọ CFR 2.0-2.4*
• Tụtụ aka na ntuziaka na akwụkwọ nkwenye2,4, 8-9
  * Nkwekọrịta na-agbanwe agbanwe
  

GTN (glyceryl trinitrate) |
NTG (nitroglycerin) |
LAD (ekpe aka ekpe na-agbada) |
FFR (obere eruba ebe nchekwa) |
IMRcorr (IMR gbaziri) |
CMD (ọrịa microvascular dysfunction) |
Tmnrest (izu ike n'ụzọ pụtara oge) |
Tmnhyp hyperemic transit pụtara oge)

Ntụaka: 

1. Berry C. Fractional Flow Reserve, Coronary Flow Reserve na Index nke Microvascular Resistance na Clinical Practice. Radcliffe Cardiology. 2014, 1-6.
2. Kunadian V, et al. Akwụkwọ EAPCI Ọkachamara Nkwenye na Ischemia nwere akwara akwara na-adịghị egbochi. EHJ. 2020; 0, 1-21.
3. Fearon W, et al. Ntụle mkpasu iwe nke Microvasculature coronary: Ndekọ nke Mgbochi Microcirculatory. Circ Cardiovasc Interv. 2017; 10:e005361
4. Perera D, et al. physiology akwara na-emetụta ndị ọrịa nwere angina na ọrịa akwara na-adịghị egbochi ya. Obi. 2022; 0, 1-8.
5. Ford T, et al. Usoro ọgwụgwọ ahụike dị iche iche na-eji Nnwale arụ ọrụ coronary invasive na angina: Ọnwụnwa CorMicA. JACC. 2018, 72, 2841-55.
6. Ang D, et al. Usoro nyocha nke ntinye aka: ntuziaka bara uru maka nleba anya ọrụ akwara akwara. JOVE 2022; 181, e2265.
7. Yong A, et al. Ngụkọta Ndekọ nke Microcirculatory Resistance na-enweghị Nrụgide Nrụgide Wedge Na-ahụ Maka Epicardial Stenosis. JACC: Cardiovasc Interv. 2013; 6, 53-8 .
8. Knuuti J, et al. Ntuziaka ESC. EHJ. 2020; 41, 407-477.
9. Gulati M, et al. Ntuziaka mgbu obi 2021, okirikiri. 2021; 144, e368-e454.

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Akwụkwọ / akụrụngwa

	Abbott Coronary Microvascular Dysfunction Algorithm [pdf] Ntuziaka onye ọrụ Algorithm nke Microvascular Dysfunction Algorithm, Microvascular Dysfunction Algorithm, Algorithm na-adịghị arụ ọrụ, Algorithm
	Abbott Coronary Microvascular Dysfunction Algorithm [pdf] Akwụkwọ ntuziaka Algorithm nke Microvascular Dysfunction Algorithm, Microvascular Dysfunction Algorithm, Algorithm na-adịghị arụ ọrụ, Algorithm

Ntụaka

• Akwụkwọ ntuziaka onye ọrụ