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European Journal of Echocardiography 2003 4(3):159-161; doi:10.1016/S1525-2167(03)00057-X
© 2003 by European Society of Cardiology
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Copyright © 2003, The European Society of Cardiology

Expanding the noninvasive coronary physiology assessment with transthoracic Doppler echocardiography

M. Ruscazio, R. Montisci and S. Iliceto*

Department of Cardiology, University of Padua, Italy

* Address correspondence to: Prof. Sabino Iliceto, University of Padua, Division of Cardiology, Via Giustiniani, 2, 35128 Padua, Italy. Tel: +39-049-8211844; Fax: +39-049-8761764. segrcard@unipd.it

The first 10% of the full text of this article appears below.

Please see page 214 for the article by Auriti et al. (doi: 10.1016/S1525-2167(03)00014-3) to which this editorial pertains.

Coronary angiography has been considered the ‘gold standard’ for defining coronary anatomy for more than four decades. Nevertheless, this technique has intrinsic limitations because it only delineates coronary ‘luminology’, and it has been clearly shown that there is marked disparity between the severity of lesions and their physiological effects in ischemic heart disease (CAD)[1]. Both coronary angiography and intravascular ultrasound can only give anatomic information and cannot provide sufficient functional information which is crucial for clinical decision making, especially in intermediate stenoses. It conveys that physiologic variables, such as coronary flow velocity reserve (CFVR), are more widely accepted and used as an additional approach . . . [Full Text of this Article]


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Related articles in Eur J Echocardiogr:

Improving feasibility of posterior descending coronary artery flow recording by transthoracic Doppler echocardiography
A Auriti, C Cianfrocca, C Pristipino, S Greco, M Galeazzi, V Guido, and M Santini
Eur J Echocardiogr 2003 4: 214-220. [Abstract] [FREE Full Text]