When and How Should We Revascularize Patients With Atherosclerotic Renal Artery Stenosis? Atherosclerotic renal artery stenosis is the leading cause of secondary hypertension and may lead to resistant (refractory) hypertension, progressive decline in renal function, and cardiac destabilization syndromes (pulmonary edema, recurrent heart failure, or acute coronary syndromes) despite guideline-directed medical therapy.
Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease. Myocardial infarction in the absence of obstructive coronary artery disease is found in ≈5% to 6% of all patients with acute infarction who are referred for coronary angiography.
Venoarterial ECMO for Adults. The American College of Cardiology Foundation (ACCF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The ACCF designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit(s)!. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Instantaneous Wave-free Ratio versus Fractional Flow Reserve to Guide PCI. The instantaneous wave-free ratio (iFR) is an index used to assess the severity of coro- nary-artery stenosis.
The instantaneous wave-free ratio (iFR) is an index used to assess the severity of coro- nary-artery stenosis. The index has been tested against fractional flow reserve (FFR) in small trials, and the two measures have been found to have similar diagnostic accu- racy. However, studies of clinical outcomes associated with the use of iFR are lacking. We aimed to evaluate whether iFR is noninferior to FFR with respect to the rate of subsequent major adverse cardiac events.
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