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Inicio Revista Colombiana de Cardiología Caracterización clínica y hemodinámica de pacientes sometidos a medición de ...
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Vol. 20. Núm. 6.
Páginas 355-362 (Noviembre - Diciembre 2013)
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Vol. 20. Núm. 6.
Páginas 355-362 (Noviembre - Diciembre 2013)
DOI: 10.1016/S0120-5633(13)70083-4
Open Access
Caracterización clínica y hemodinámica de pacientes sometidos a medición de la reserva de flujo fraccional en la Fundación Abood Shaio entre 2010–2011. Primera experiencia en Colombia
Clinical and hemodynamic characterization of patients who underwent measurement of fractional flow reserve in Abood-Shaio Foundation between 2010–2011. First experience in Colombia
Visitas
...
Luis Gutiérrez1,
Autor para correspondencia
gjaikel@hotmail.com

Correspondencia: Servicio de Cardiología, Hospital México, San José, Costa Rica. Teléfono: (506) 2242–6646.
, Gilberto Estrada2, Luis I. Calderón2, Pablo Castro2, Edgar Hurtado2
1 Hospital México. San José, Costa Rica
2 Fundación Abood-Shaio, Bogotá, Colombia
Información del artículo
Introducción y objetivos

la valoración fisiológica de las lesiones coronarias mediante la medición de la reserva de flujo fraccional, se asocia con revascularizacion fisiológica en lugar de anatómica sin incremento de los eventos cardiovasculares en el seguimiento y semejante libertad de angina. El objetivo es caracterizar la primera población estudiada a través de la medición de la reserva de flujo fraccional en Colombia, en la Fundación Abood-Shaio.

Métodos

En los años 2010–2011 se estudiaron 50 pacientes y 60 lesiones coronarias, a través de la medición de la reserva de flujo fraccional; 68% de los pacientes se estudiaron por síndromes coronarios agudos. En 94% de los casos la indicación de la valoración fisiológica fueron lesiones intermedias, 4% lesiones ostiales y 2% enfermedad coronaria multivaso.

La media de reserva de flujo fraccional fue de 0,87 (DS±0,075); de la totalidad de la muestra 11,6% de pacientes tuvo reserva de flujo fraccional menor de 0,80 y se les realizó angioplastia de la lesión evaluada, siendo mayor de 0,80 en 88,4%.

Conclusión

La valoración fisiológica de las lesiones coronarias mediante reserva de flujo fraccional fue menor de 0,80 en 11,6% de los casos, evitando la angioplastia coronaria en 88,4% de las lesiones evaluadas.

Palabras clave:
angioplastia coronaria
revascularización
síndrome coronario agudo
Introduction and objectives

The physiological assessment of coronary lesions through measurement of fractional flow reserve is associated with functional revascularization without increasing mortality and myocardial infarction in follow-up and with reduction of angina. The first objective of the study is to characterize the first population studied by measuring the fractional flow reserve in Colombia, Fundación Abood-Shaio.

Methods

In the years 2010–2011 we studied 50 patients and 60 coronary lesions measuring the fractional flow reserve. 68% of these patients were studied by angiography for acute coronary syndromes. The indication of the physiological assessment in 94% of the cases were intermediate lesions, 4% were ostial and 2% were multivessel coronary disease.

Mean fractional flow reserve (FFR) was 0.87 (SD±0.075); from the total sample 11,6% of patients had a fractional flow reserve of less than 0.80 and underwent angioplasty of the evaluated lesion, being greater than 0.80 in 88,4% of the patients.

Conclusion

The physiological assessment of coronary lesions using fractional flow reserve was less than 0.80 in 11,6% of cases, avoiding coronary angioplasty in 88.4% of the lesions evaluated.

Keywords:
coronary angioplasty
revascularization
acute coronary syndrome
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Copyright © 2013. Sociedad Colombiana de Cardiología y Cirugía Cardiovascular
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