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Consensus document for invasive coronary physiologic assessment in Asia-Pacific countries

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Author(s)
Hak Seung LeeJoo Myung LeeChang-Wook NamEun-Seok ShinJoon-Hyung DohNeng DaiMartin K.C. NgAndy S.C. YongDamras TresukosolAjit S. MullasariRony MathewPraveen ChandraKuang-Te WangYundai ChenJiyan ChenKai-Hang YiuNils P. JohnsonBon-Kwon Koo
Keimyung Author(s)
Nam, Chang Wook
Department
Dept. of Internal Medicine (내과학)
Journal Title
Cardiology Journal
Issued Date
2019
Volume
26
Issue
3
Keyword
coronary physiologyinvasive physiologic assessmentquality improvement
Abstract
Background:
Currently, invasive physiologic assessment such as fractional flow reserve is widely used worldwide with different adoption rates around the globe. Patient characteristics and physician preferences often differ in the Asia-Pacific (APAC) region with respect to treatment strategy, techniques, lesion complexity, access to coronary physiology and imaging devices, as well as patient management. Thus, there is a need to construct a consensus document on recommendations for use of physiology-guided percutaneous coronary intervention (PCI) in APAC populations. This document serves as an overview of recommendations describing the best practices for APAC populations to achieve more consistent and optimal clinical outcomes.

Methods and Results:
A comprehensive multiple-choice questionnaire was provided to 20 interventional cardiologists from 10 countries in the APAC region. Clinical evidence, tips and techniques, and clinical situations for the use of physiology-guided PCI in APAC were reviewed and used to propose key recommendations. There are suggestions to continue to develop evidence for lesion and patient types that will benefit from physiology, develop directions for future research in health economics and local data, develop appropriate use criteria in different countries, and emphasize the importance of education of all stakeholders. A consensus recommendation to enhance the penetration of invasive physiology-based therapy was to adopt the 5E approach: Evidence, Education, Expand hardware, Economics and Expert consensus.

Conclusions:
This consensus document and recommendations support interventional fellows and cardiologists, hospital administrators, patients, and medical device companies to build confidence and encourage wider implementation of invasive coronary physiology-guided therapy in the APAC region. (Cardiol J 2019; 26, 3: 215–225)
Keimyung Author(s)(Kor)
남창욱
Publisher
School of Medicine (의과대학)
Citation
Hak Seung Lee et al. (2019). Consensus document for invasive coronary physiologic assessment in Asia-Pacific countries. Cardiology Journal, 26(3), 215–225. doi: 10.5603/CJ.a2019.0054
Type
Article
ISSN
1897-5593
Source
https://journals.viamedica.pl/cardiology_journal/article/view/62242
DOI
10.5603/CJ.a2019.0054
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42039
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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