ARTICLE FRACTIONAL RESERVE OF CORONARY FLOW

MARIA LORENA AGUILERA CAMACHO

01220022028

UNIVERSITY OF SANTANDER
HEART INSTITUTE

TEACHER
LIDY HIGUERA

BUCARAMANGA
SURGICAL INSTRUMENTATION
2023
 ABSTRACT
The simplified fractional reserve flow formula is the relationship between mean
pressure distal to the lesion and mean aortic pressure under hyperemic
stimulation with adenosine; 0.8 is the accepted cut-off point for defining a coronary
lesion as relevant from a hemodynamic point of view. Wave-free period is defined
as a relationship between distal mean intracoronary pressure and mean aortic
pressure, during a diastolic period that begins after 25% of diastole and ends 5
milliseconds before end of diastole (wave-free period), which allows determining this
relationship without the need to administer hyperemic agents.

Coronary angiography using computed tomography has been positioned as a non-

invasive alternative for the evaluation of coronary anatomy, and at present, the
addition of functional tests to this study, such as fractional reserve flow and coronary
tomography angiography, provides information on the coronary anatomy and, in a
complementary manner, the physiological impact of coronary lesions.

LINK:https://www.elsevier.es/es-revista-revista-colombiana-cardiologia-203-articulo-flujo-
reserva-fraccional-relacion-presion-S0120563319300750

QUESTIONS

1. What is the accepted cut-off value for defining a coronary lesion as

hemodynamically relevant using fractional reserve flow?

a) 0,5

b) 0,8

c) 1,0

d) 1.5
2. What is measured in the wave-free period during the functional evaluation
of coronary lesions?

a) Distal mean intracoronary pressure during systole

b) Mean aortic pressure during systole

c) Distal mean intracoronary pressure during diastole

d) Mean aortic pressure during diástole

3. Which of the following techniques has been positioned as a non-invasive

alternative for the evaluation of coronary anatomy?

a) Electrocardiogram

b) Invasive coronary angiography

c) Coronary computed tomography

d) Echocardiography

4. What information does the combination of coronary tomography

angiography and fractional reserve flow provide in the evaluation of coronary
lesions?

a) Coronary anatomy exclusively

b) Physiological impact of coronary lesions exclusively

c) Coronary anatomy and, in addition, the physiological impact of coronary lesions

d) None of the above