Physiologic Stenosis Severity, Binary Thinking, Revascularization, and “Hidden Reality”

Physiologic stenosis severity, binary thinking, revascularization, and "hidden reality".

Physiologic severity of diffuse coronary artery disease: hidden high risk.

Angiocardiographic and physiologic correlations in mitral stenosis.

IT IS well known that the left atrium and pulmonary artery are characteristically enlarged in mitral stenosis.1 2 However, the quantitative relationship of these anatomic abnormalities to the concomitant disturbances in cardiovascular hemodynamics has not been defined. The few anatomic-physiologic studies that are available are semiquantitative, since they are based on rough estimates of left a...

Exaggeration of nonculprit stenosis severity during acute myocardial infarction: implications for immediate multivessel revascularization.

OBJECTIVES This study was designed to assess the prevalence and clinical significance of exaggerated nonculprit lesion stenosis in the setting of acute (<12 h) myocardial infarction (AMI). BACKGROUND Although microvascular spasm may reduce nonculprit artery flow during AMI, it is unknown whether increased tone may exaggerate nonculprit lesion severity. METHODS In patients with additional an...

Complete myocardial revascularization: between myth and reality.

Myocardial revascularization in patients with multi-vessel coronary artery disease may be accomplished, by percutaneous interventions or surgery, either on all diseased lesions or directed to selectively targeted coronary segments. The extent of planned revascularization is often a major determinant of treatment strategy. Revascularization of all diseased coronary segments-complete myocardial r...