Coronary Pressure:
Cardiologists must answer three important questions when evaluating and treating patients with a coronary artery stenosis. As a physiologist: "What is the effect of this stenosis on coronary blood flow and myocardial function?"; as a clinician: " Is this lesion responsible for the pat...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Dordrecht
Springer Netherlands
1997
|
| Schriftenreihe: | Developments in Cardiovascular Medicine
195 |
| Schlagworte: | |
| Online-Zugang: | UBR01 Volltext |
| Zusammenfassung: | Cardiologists must answer three important questions when evaluating and treating patients with a coronary artery stenosis. As a physiologist: "What is the effect of this stenosis on coronary blood flow and myocardial function?"; as a clinician: " Is this lesion responsible for the patient's symptoms?"; and finally as an interventionalist: "Will revascularization of this artery improve the patient?" Fundamentally, the answer to these questions can be given to a large extent by measuring coronary pressure. That is the rationale of writing this book. 1. 1 Historical overview. Andreas Gruentzig and most interventional cardiologists in the early days of PTCA, had the intuitive feeling that pressure measurements could help to establish the severity of a coronary stenosis and to monitor the progress and result of a coronary intervention. At that time, measuring coronary pressure by the balloon catheter was part of a standard procedure. A residual transstenotic gradient of less than 15 mmHg was generally considered as a good result. Later, however, it turned out that measuring these (resting) gradients with balloon catheters was inaccurate an only had a limited prognostic value. Moreover, because there was no consistent theory to correlate pressure measurements to blood flow, the interest in measuring coronary pressures faded and disappeared almost completely with the introduction of new balloon catheters not intended for pressure measurement |
| Beschreibung: | 1 Online-Ressource (XVII, 344 p. 150 illus) |
| ISBN: | 9789401588348 |
| DOI: | 10.1007/978-94-015-8834-8 |
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| 520 | |a Cardiologists must answer three important questions when evaluating and treating patients with a coronary artery stenosis. As a physiologist: "What is the effect of this stenosis on coronary blood flow and myocardial function?"; as a clinician: " Is this lesion responsible for the patient's symptoms?"; and finally as an interventionalist: "Will revascularization of this artery improve the patient?" Fundamentally, the answer to these questions can be given to a large extent by measuring coronary pressure. That is the rationale of writing this book. 1. 1 Historical overview. Andreas Gruentzig and most interventional cardiologists in the early days of PTCA, had the intuitive feeling that pressure measurements could help to establish the severity of a coronary stenosis and to monitor the progress and result of a coronary intervention. At that time, measuring coronary pressure by the balloon catheter was part of a standard procedure. A residual transstenotic gradient of less than 15 mmHg was generally considered as a good result. Later, however, it turned out that measuring these (resting) gradients with balloon catheters was inaccurate an only had a limited prognostic value. Moreover, because there was no consistent theory to correlate pressure measurements to blood flow, the interest in measuring coronary pressures faded and disappeared almost completely with the introduction of new balloon catheters not intended for pressure measurement | ||
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| dewey-full | 616.12 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 616 - Diseases |
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| discipline | Medizin |
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| id | DE-604.BV046143839 |
| illustrated | Not Illustrated |
| indexdate | 2024-07-10T08:36:24Z |
| institution | BVB |
| isbn | 9789401588348 |
| language | English |
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| spelling | Pijls, Nico H. J. Verfasser aut Coronary Pressure by Nico H. J. Pijls, Bernard De Bruyne Dordrecht Springer Netherlands 1997 1 Online-Ressource (XVII, 344 p. 150 illus) txt rdacontent c rdamedia cr rdacarrier Developments in Cardiovascular Medicine 195 Cardiologists must answer three important questions when evaluating and treating patients with a coronary artery stenosis. As a physiologist: "What is the effect of this stenosis on coronary blood flow and myocardial function?"; as a clinician: " Is this lesion responsible for the patient's symptoms?"; and finally as an interventionalist: "Will revascularization of this artery improve the patient?" Fundamentally, the answer to these questions can be given to a large extent by measuring coronary pressure. That is the rationale of writing this book. 1. 1 Historical overview. Andreas Gruentzig and most interventional cardiologists in the early days of PTCA, had the intuitive feeling that pressure measurements could help to establish the severity of a coronary stenosis and to monitor the progress and result of a coronary intervention. At that time, measuring coronary pressure by the balloon catheter was part of a standard procedure. A residual transstenotic gradient of less than 15 mmHg was generally considered as a good result. Later, however, it turned out that measuring these (resting) gradients with balloon catheters was inaccurate an only had a limited prognostic value. Moreover, because there was no consistent theory to correlate pressure measurements to blood flow, the interest in measuring coronary pressures faded and disappeared almost completely with the introduction of new balloon catheters not intended for pressure measurement Cardiology Bruyne, Bernard De aut Erscheint auch als Druck-Ausgabe 9789401588362 Erscheint auch als Druck-Ausgabe 9789401588355 Erscheint auch als Druck-Ausgabe 9780792346722 https://doi.org/10.1007/978-94-015-8834-8 Verlag URL des Erstveröffentlichers Volltext |
| spellingShingle | Pijls, Nico H. J. Bruyne, Bernard De Coronary Pressure Cardiology |
| title | Coronary Pressure |
| title_auth | Coronary Pressure |
| title_exact_search | Coronary Pressure |
| title_full | Coronary Pressure by Nico H. J. Pijls, Bernard De Bruyne |
| title_fullStr | Coronary Pressure by Nico H. J. Pijls, Bernard De Bruyne |
| title_full_unstemmed | Coronary Pressure by Nico H. J. Pijls, Bernard De Bruyne |
| title_short | Coronary Pressure |
| title_sort | coronary pressure |
| topic | Cardiology |
| topic_facet | Cardiology |
| url | https://doi.org/10.1007/978-94-015-8834-8 |
| work_keys_str_mv | AT pijlsnicohj coronarypressure AT bruynebernardde coronarypressure |