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Article: Consensus document for invasive coronary physiologic assessment in Asia-Pacific countries

TitleConsensus document for invasive coronary physiologic assessment in Asia-Pacific countries
Authors
Keywordscoronary physiology
invasive physiologic assessment
quality improvement
Issue Date2019
PublisherVia Medica. The Journal's web site is located at http://czasopisma.viamedica.pl/cj
Citation
Cardiology Journal, 2019, v. 26 n. 3, p. 215-225 How to Cite?
AbstractBackground: Currently, invasive physiologic assessment such as fractional flow reserve is widely used worldwide with different adoption rates around the globe. Patient characteristics and physician preferences often differ in the Asia-Pacific (APAC) region with respect to treatment strategy, techniques, lesion complexity, access to coronary physiology and imaging devices, as well as patient management. Thus, there is a need to construct a consensus document on recommendations for use of physiology-guided percutaneous coronary intervention (PCI) in APAC populations. This document serves as an overview of recommendations describing the best practices for APAC populations to achieve more consistent and optimal clinical outcomes. Methods and Results: A comprehensive multiple-choice questionnaire was provided to 20 interven- tional cardiologists from 10 countries in the APAC region. Clinical evidence, tips and techniques, and clinical situations for the use of physiology-guided PCI in APAC were reviewed and used to propose key recommendations. There are suggestions to continue to develop evidence for lesion and patient types that will benefit from physiology, develop directions for future research in health economics and local data, develop appropriate use criteria in different countries, and emphasize the importance of education of all stakeholders. A consensus recommendation to enhance the penetration of invasive physiology-based therapy was to adopt the 5E approach: Evidence, Education, Expand hardware, Economics and Expert consensus. Conclusions: This consensus document and recommendations support interventional fellows and cardiologists, hospital administrators, patients, and medical device companies to build confidence and encourage wider implementation of invasive coronary physiology-guided therapy in the APAC region.
Persistent Identifierhttp://hdl.handle.net/10722/284836
ISSN
2019 Impact Factor: 1.669
2015 SCImago Journal Rankings: 0.442

 

DC FieldValueLanguage
dc.contributor.authorLee, HS-
dc.contributor.authorLee, JM-
dc.contributor.authorNam, CW-
dc.contributor.authorShin, ES-
dc.contributor.authorDoh, JH-
dc.contributor.authorDai, N-
dc.contributor.authorNg, MKC-
dc.contributor.authorYong, ASC-
dc.contributor.authorTresukosol, D-
dc.contributor.authorMullasari, AS-
dc.contributor.authorMathew, R-
dc.contributor.authorChandra, P-
dc.contributor.authorWang, KT-
dc.contributor.authorChen, Y-
dc.contributor.authorChen, J-
dc.contributor.authorYiu, KH-
dc.contributor.authorJohnson, NP-
dc.contributor.authorKoo, BK-
dc.date.accessioned2020-08-07T09:03:16Z-
dc.date.available2020-08-07T09:03:16Z-
dc.date.issued2019-
dc.identifier.citationCardiology Journal, 2019, v. 26 n. 3, p. 215-225-
dc.identifier.issn1897-5593-
dc.identifier.urihttp://hdl.handle.net/10722/284836-
dc.description.abstractBackground: Currently, invasive physiologic assessment such as fractional flow reserve is widely used worldwide with different adoption rates around the globe. Patient characteristics and physician preferences often differ in the Asia-Pacific (APAC) region with respect to treatment strategy, techniques, lesion complexity, access to coronary physiology and imaging devices, as well as patient management. Thus, there is a need to construct a consensus document on recommendations for use of physiology-guided percutaneous coronary intervention (PCI) in APAC populations. This document serves as an overview of recommendations describing the best practices for APAC populations to achieve more consistent and optimal clinical outcomes. Methods and Results: A comprehensive multiple-choice questionnaire was provided to 20 interven- tional cardiologists from 10 countries in the APAC region. Clinical evidence, tips and techniques, and clinical situations for the use of physiology-guided PCI in APAC were reviewed and used to propose key recommendations. There are suggestions to continue to develop evidence for lesion and patient types that will benefit from physiology, develop directions for future research in health economics and local data, develop appropriate use criteria in different countries, and emphasize the importance of education of all stakeholders. A consensus recommendation to enhance the penetration of invasive physiology-based therapy was to adopt the 5E approach: Evidence, Education, Expand hardware, Economics and Expert consensus. Conclusions: This consensus document and recommendations support interventional fellows and cardiologists, hospital administrators, patients, and medical device companies to build confidence and encourage wider implementation of invasive coronary physiology-guided therapy in the APAC region.-
dc.languageeng-
dc.publisherVia Medica. The Journal's web site is located at http://czasopisma.viamedica.pl/cj-
dc.relation.ispartofCardiology Journal-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectcoronary physiology-
dc.subjectinvasive physiologic assessment-
dc.subjectquality improvement-
dc.titleConsensus document for invasive coronary physiologic assessment in Asia-Pacific countries-
dc.typeArticle-
dc.identifier.emailYiu, KH: khkyiu@hku.hk-
dc.identifier.authorityYiu, KH=rp01490-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.5603/CJ.a2019.0054-
dc.identifier.pmid31225632-
dc.identifier.scopuseid_2-s2.0-85068886195-
dc.identifier.scopuseid_2-s2.0-85068886195-
dc.identifier.hkuros311671-
dc.identifier.volume26-
dc.identifier.issue3-
dc.identifier.spage215-
dc.identifier.epage225-
dc.publisher.placePoland-

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