Abbott Coronary Microvascular Disfunction Algorithm

Fa'atasiga o le Catheter

(i)

• Fufulu lelei 1
• Fa'asagaga ta'iala fa'atasi 1
• Ia mautinoa e leai oamping1
  

(A)

Uaea Uaea

• Su'esu'e LAD se'i vagana ua i ai se teritori patino e fiafia i ai 2
• Fa'agasolo i luma le masini uaea 2/3 mamao ile va'a 3
•  Pulea le GTN/NTG1
  

(T)

Taimi fe'avea'i ile Malolo

• Fufulu/fa'amama a'o le'i Tmn malolo e fa'amama ai so'o se toto ma fa'atusatusa 3
• Saline vevela potu 3
• Fa'atopetope 3 mL x 3 tui 3
• Tu'u atu i fafo (± 0.25s) a'o le'i fa'agasolo 4*
  * Toe fua le Tmn malolo
  

(H)

Taimi Fe'avea'i Hyperemic

• Fa'atupu le hyperemia 5
• Fa'amaonia le hyperemia*6
• Fufulu/fa'amama a'o le'i-Tmn hyp e fa'amama ai so'o se toto ma fa'atusatusa 6
• Saline vevela potu 6
• Fa'atopetope 3 mL x 3 tui 6
• Tu'u i fafo (± 0.15s) a'o le'i fa'agasolo 4**
  * Fa'aitiitia le mamafa, fa'ailoga ma'i, pa'u FFR*
  * Toe fuaina le Tmn hyp

(C)

Fa'asao Fa'asao (CFR)

• CFR <2.5*4
• Sone efuefu CFR 2.0-2.4*
  * Faʻaleleia le maliliega
  

(M)

Fa'asinomaga ole Microcirculatory Resistance (IMR)

• IMR ≥252
• Fa'aaoga le IMRcorr pe afai FFR ≤0.807
  

(D)

Su'esu'ega

• Suʻesuʻega o le CMD faʻavae ile IMR ≥25 ma le CFR <2.5 * 2,4
• Sone efuefu CFR 2.0-2.4*
• Va'ai i ta'iala ma le maliega autasi pepa2,4, 8-9
  * Faʻaleleia le maliliega
  

GTN (glyceryl trinitrate) |
NTG (nitroglycerin) |
LAD (agavale i luma agai i lalo) |
FFR (fa'asao vaega ta'i) |
IMRcorr (Faasa'o IMR) |
CMD (coronary microvascular faaletonu) |
Tmnrest (taimi malolo malolo) |
Tmnhyp (le taimi o femalaga'iga hyperemic)

Fa'asinomaga: 

1. Berry C. Fractional Flow Reserve, Coronary Flow Reserve ma le Index of Microvascular Resistance in Clinical Practice. Radcliffe Cardiology. 2014, 1-6.
2. Kunadian V, et al. EAPCI Consensus Document on Ischaemia with Non-Obstructive Coronary Arteries. EHJ. 2020; 0, 1-21.
3. Fearon W, et al. Su'esu'ega Fa'asa'o o le Fa'asa'o Fa'asa'o: O le Fa'asinoga o le Fa'asa'o Fa'asagaga. Circ Cardiovasc Interv. 2017; 10:e005361
4. Perera D, et al. Invasive coronary physiology i tagata mamaʻi e maua i le angina ma le faʻamaʻi faʻamaʻi gaʻo. Loto. 2022; 0, 1-8.
5. Ford T, ma isi. Togafitiga Fa'afoma'i Fa'asa'o Fa'aaogā Su'esu'ega Fa'atino Fa'asa'o i le Angina: Le Fa'amasinoga a CorMicA. JACC. 2018, 72, 2841-55.
6. Ang D, et al. Faiga Fa'ata'ita'i Fa'asagaga: o se Ta'iala Fa'atino mo le Su'esu'eina o Galuega Fa'atoto. JOVE 2022; 181, e2265.
7. Yong A, et al. Fuafuaga o le Fa'asinomaga o le Microcirculatory Resistance e aunoa ma le Fuaina o le Fa'amama o le Coronary Wedge i le i ai o le Epicardial Stenosis. JACC: Cardiovasc Interv. 2013; 6, 53-8.
8. Knuuti J, et al. Ta'iala a le ESC. EHJ. 2020; 41, 407-477.
9. Gulati M, et al. 2021 Ta'iala o le Tiga o le Fatafata, Ta'amilosaga. 2021; 144, e368-e454.

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Pepa / Punaoa

	Abbott Coronary Microvascular Disfunction Algorithm [pdf] Taiala mo Tagata Fa'aoga Algoritm fa'aletonu ole Microvascular, Algorithm fa'aletonu ole Microvascular, Algorithm fa'aletonu, Algorithm
	Abbott Coronary Microvascular Disfunction Algorithm [pdf] Tusi Taiala Algoritm fa'aletonu ole Microvascular, Algorithm fa'aletonu ole Microvascular, Algorithm fa'aletonu, Algorithm

Fa'asinomaga

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