Coronary Artery Disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Age >=20 years old (2) Patients were clinically suspected of angina pectoris and underwent coronary angiography (CAG). (3) CAG showed more than 50% stenosis by visual estimation. (4) Both FFR and resting indices were performed to assess functional significance of coronary artery lesion. (5) Cases with iFR, RFR, dFR, or DFR as resting indices.
Exclusion criteria
Exclusion criteria: (1) culprit lesion of acute coronary syndrome (2) graft lesion (3) overt heart failure (4) inability to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare 1-year TVF (target vessel failure) rate between four groups: (I) FFR <=0.80 and RI >0.89, (II) FFR >0.80 and RI <=0.89, (III) FFR >0.80 and RI >0.89, and (IV) FFR <=0.80 and RI <=0.89 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) To assess the feasibility of dPR, RFR, and DFR as compared with FFR and iFR 2) To compare 5-year TVF (target vessel failure) rate between four groups: (I) FFR <=0.80 and RI >0.89, (II) FFR >0.80 and RI <=0.89, (III) FFR >0.80 and RI >0.89, and (IV) FFR <=0.80 and RI <=0.89 3) To investigate the diagnostic accuracy between post-PCI FFR and RI values 4) To investigate the clinical impact of post-PCI FFR and RI values 5) To investigate the relationship between angiographic findings and physiological indices (FFR and RI) 6) To investigate cutoff points of RI for predicting future clinical events 7) To establish the algorithm using FFR, RI, and QFR (quantitative flow ratio) for ischemic diagnosis 8) To investigate the relationship between CCTA (coronary computed tomographic angiography) findings and physiologic indices (FFR and RI) 9) To investigate cutoff points of FFR and RI for predicting future clinical events associated with non-culprit lesions in patients with acute coronary syndrome 10) To investigate cutoff points of FFR and RI for predicting future clinical events in patients with aortic stenosis 11) To investigate cutoff points of FFR and RI for predicting future clinical events in dialysis patients 12) To investigate the relationship between FFR and RI in terms of diagnostic accuracy and clinical outcomes according to cardiac function. 13) To investigate the relationship between hyperemic agents and clinical outcomes 14) To investigate the relationship between pressure-derived coronary flow reserve, FFR, and RI | — |
Countries
Japan
Contacts
Sapporo Cardio Vascular Clinic Cardiovascular Medicine