♂️ 65yr - typical angina - previous PCI in the LAD

The stent looks good, and FFR in the LAD is 0.89

🧐 Looks like a bridge 🌉
💉 Start dobutamine 20-40-50 μg/kg/min
🤓 RFR down to 0.73 and pain

📌Hemodynamic significant myocardial bridge!

William Fearon Javier Escaned Hany Ragy

🔬 Elevate your practice with experts in coronary physiology worldwide!

Don't miss out on this exclusive educational experience designed to enhance your skills

🎟️ Only a few seats left: coreaalst.com/physiology

Optima Education CoreAalst OPCI

Very insightful review on #CTguidedPCI by Frederic Bouisset in Heart_BMJ

'In summary, PCI planning
reduces uncertainty, enhances
decision-making, improves procedural efficiency,
promotes collaboration and facilitates effective
communication with patients'

heart.bmj.com/panels_ajax_ta…

Standardization of absolute coronary flow and microvascular resistance measurements: how to perform continuous intracoronary thermodilution bit.ly/42wZSx0

#JACC #ANOCA Marta Belmonte Bernard De Bruyne Morton J Kern Takuya Mizukami Carlos Collet MD PhD

Original Article: Live, Attenuated, Tetravalent Butantan–Dengue Vaccine in Children and Adults nej.md/3vTJ3Qu

Editorial: Three Dengue Vaccines — What Now? nej.md/42l9ESH

#Pediatrics

Absolute flow goes to the US!
#CardioTwitter #CMD #CoronaryFlow Emanuele Gallinoro Pasquale Paolisso Niya Mileva Koshiro Sakai, MD PhD Sam Fawaz Dr Thomas Keeble

Coronary physiology camps: invasive, non-invasive, FFR, IFR group 🩺

Have you fallen into one of these groups? 🤔

Listen to what Course Co-Director Rasha Al-Lamee thinks about this and why you MUST attend The Physiology Course 16th edition: A New Wave.

🗓️ 15-17 April 2024
🏢…

Unique occasion to learn from the Masters! You can't miss it!!! Register now!

In our recent analysis, focal coronary lesions (identified by #PPG ) presented not only adverse plaque composition, but also dangerous flow disturbance #WSS ! Focal lesions are the enemy!

thanks CoreAalst Politecnico di Torino Carlos Collet MD PhD

internationaljournalofcardiology.com/article/S0167-…

Hands on physiology with microvascular assessment, live cases - an incredible course. Honoured to be involved; highly recommended.

🌟 Save the Date for The Physiology Course: A New Wave! #TPC24

📅 Dates: 15th-17th April 2024
📍 Location: Virtual and On-Site at ORSI Academy, Belgium 🇧🇪

⏳ Registration opens end of January 2024.

Be among the first to secure your spot and pre-register NOW, seats will go…

🧩The puzzle is coming together🧩

Focal disease *High PPG* is associated with high wall shear stress (WSS)

🔥Hemodynamics (PPG and WSS) linked to plaque composition🔥

👏Lead by ex-fellow Alessandro Candreva MD in collaboration with Politecnico di Torino

Read more 👇
internationaljournalofcardiology.com/article/S0167-…

Coronary atherosclerotic plaque phenotypes associated w/ intracoronary hemodynamics. Learn more in this multinational #JACCIMG #cvCAD study utilizing #YesCCT , OCT, FFR, & pullback pressure gradients: bit.ly/3QUFRMH

#Atherosclerosis Takuya Mizukami Carlos Collet MD PhD Daniel Munhoz

As the festive season approaches and very soon we bid farewell to 2023, we want to express our heartfelt gratitude to all our incredible followers and supporters! 🎁❤️

🌟Your unwavering support has filled this year with great memories and meaningful connections.

Wishing you and…

What are the differences in bolus and continuous thermodilution to assess MRR and CFR?
🔹 Continuous thermodilution: ⬇️CFR and MRR
🔹 Bolus thermodilution: ⬆️intra-observer variability

🔗: bit.ly/46GmqM8

#JACCINT Pasquale Paolisso Carlos Collet MD PhD Niya Mileva Daniel Munhoz Konstantinos Bermpeis

Another 🧩 in CMD ➡️Continuous vs. Bolus Thermodilution:
🎯⬆️values of CFR/MRR when derived by bolus
compared to continuous
🎯🔀Weak correlation between CFR/MRR derived from bolus vs continuous
🎯🔄 Higher repeatability of CFR/MRR for continuous vs bolus
jacc.org/doi/10.1016/j.…

📉Distribution of atherosclerosis along the coronary arteries analyzed uniquely.

❓Can we know the plaque characteristics with an FFR Pullback?

🔥🔥🔥 Understand Focal and Diffuse coronary artery disease!

Written by the master Koshiro Sakai, MD PhD , led by Carlos Collet MD PhD
#CardioX

Also kudos to Rasha Al-Lamee very few senior investigators would have given the opportunity to their fellow to present the study at the AHA. She also had her other three Research fellows sitting in the same room as the Interview so they could get exposure to interviews by Press.
This…

📢Did you hear about our PPG Global Study at #TCT2023 ? If not, you’re in the right place!

👇Discover it firsthand as Dr. Jeroen Sonck takes you through what PPG looks like in the Cath lab.

We promise you don’t want to miss it! 📷

If you're keen to learn more about PPG…

#TCT2023
#CoronaryPhysiology

CORONARY FLOW RESERVE
PRESSURE-derived
vs.
Continuous T H E R M O D I L U T I O N

👋 Daniel Munhoz🇨🇬 OLV Ziekenhuis🇧🇪

#ItsNotAllAboutTheLBTs
#GoWithTheFlow