冠状动脉临界病变的评价

The evaluation strategy of borderline coronary artery disease

冠状动脉造影是诊断冠心病的“金标准”,但其对冠状动脉的储备功能、发作的缺血程度和心肌缺血的阈值均无法评价.对冠状动脉临界病变,冠状动脉造影有明显的局限性,应该进一步进行IVUS、OCT或FFR等检查,再给予相应的药物治疗、DES或者CABG治疗;同时进行必要的临床随访,必要时进行造影随访,建立完善的冠状动脉评价与治疗体系.

Coronary angiography is the"golden standard"for the diagnosis of coronary heart disease.It can not evaluate the reserve function of coronary artery,the degree of ischemia attack and the threshold of myocardial ischemia.For the borderline lesions of coronary artery disease,coronary angiography is of obvious limitations.We should further examine the coronary artery by IVUS,OCT or FFR et al;and then give corresponding drug,DES or CABG treatment.At the same time,we should carry out necessary clinical followup,if necessary,coronary angiography should be following-up,and establish a perfect coronary artery evaluation and treatment system.