Within Interventional cardiology we are well equipped to diagnose and treat epicardial coronary disease, using tools such as Angio/FFR/IVUS/OCT/Stents/Balloons
We are less effective in understanding and treating disease related to the other 95% of the coronary vasculature – the microcirculation
of patients presenting with Angina have no obstructive coronary artery disease at angiography
of patients continue to have angina despite successful stent implantation
The clinical need
Ability to separate epicardial disease…
…from microvascular dysfunction at the point-of-care, Angio
Goal: Provide a complete diagnosis with a tailored patient treatment strategy
1. Panza JA. Myocardial ischemia and the pains of the heart. N Engl J Med. 2002;346:1934–1935. doi: 10.1056/NEJMp020047.
2. Arnold SV, Jang JS, Tang F, Graham G, Cohen DJ, Spertus JA. Prediction of residual angina after percutaneous coronary intervention. Eur Heart J Qual Care Clin Outcomes. 2015;1:23–30.